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: 0938-0960	ICR Reference No: 200506-0938-007
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: CMS Real-Time Eligibility Agreement and MDCN Access Request
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: 07/01/2005
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/29/2005
	Date Received in OIRA: 06/23/2005
Terms of Clearance: This collection is approved with the following condition. CMS will amend the MDB SORN to include its use for Medicare Fee for Service beneficiaries.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2005	12/31/2005
Responses	122,000	0	0
Time Burden (Hours)	45,000	0	0
Cost Burden (Dollars)	0	0	0

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