View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0354	ICR Reference No: 200601-0938-011
Status: Historical Active	Previous ICR Reference No: 200209-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Annual Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) Participation Report
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: 03/28/2006
	Date Received in OIRA: 01/26/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2009	03/31/2009	03/31/2006
Responses	56	0	56
Time Burden (Hours)	1,568	0	1,568
Cost Burden (Dollars)	15,000	0	15,000

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