View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1545-1891	ICR Reference No: 200406-1545-030
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Form 13560, HCTC Returning Funds Form, and Form 13561, HCTC Guide for Health Plan Administrators (Evaluation Form)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 06/28/2004
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/24/2004
	Date Received in OIRA: 06/22/2004
Terms of Clearance: The agency is not required to display the expiration date.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2004	12/31/2004
Responses	200	0	0
Time Burden (Hours)	50	0	0
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.