View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0977	ICR Reference No: 200510-0938-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Retiree Drug Subsidy Payment Request and Instructions
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: 10/24/2005
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/01/2005
	Date Received in OIRA: 10/06/2005
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2006	06/30/2006
Responses	6,000	0	0
Time Burden (Hours)	222,000	0	0
Cost Burden (Dollars)	101,000	0	0

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