View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0787	ICR Reference No: 200406-0938-001
Status: Historical Active	Previous ICR Reference No: 200106-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Request for Employment Information
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: 09/16/2004
	Date Received in OIRA: 06/07/2004
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2007	09/30/2007	09/30/2004
Responses	5,000	0	5,000
Time Burden (Hours)	1,250	0	750
Cost Burden (Dollars)	0	0	0

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