View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0193	ICR Reference No: 200405-0938-004
Status: Historical Active	Previous ICR Reference No: 200104-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Transmittal and Notice of Approval of State Plan Material and Supporting Regulations in 42 CFR 430.10-430.20 and 440.167
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/08/2004
	Date Received in OIRA: 05/10/2004
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2007	07/31/2007	07/31/2004
Responses	56	0	56
Time Burden (Hours)	560	0	560
Cost Burden (Dollars)	0	0	0

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