View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1545-1891	ICR Reference No: 200410-1545-017
Status: Historical Active	Previous ICR Reference No: 200406-1545-030
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Form 13560, HCTC Health Plan Administrator (HPA) Return of Funds Form, and Form 13561, HCTC Health Plan Administrators Operations Guide
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: 12/02/2004
	Date Received in OIRA: 10/27/2004
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2007	12/31/2007	12/31/2004
Responses	200	0	200
Time Burden (Hours)	50	0	50
Cost Burden (Dollars)	0	0	0

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