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3220-0185 200411-3220-001
Historical Active 200110-3220-001
RRB
Report of Medicaid State Office on Beneficiary's Buy-In Status
Extension without change of a currently approved collection   No
Regular
Approved without change 12/09/2004
11/08/2004
  Inventory as of this Action Requested Previously Approved
12/31/2007 12/31/2007 02/28/2005
600 0 600
100 0 100
0 0 0