View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0977	ICR Reference No: 200603-0938-006
Status: Historical Active	Previous ICR Reference No: 200510-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Retiree Drug Subsidy Payment Request Instructions
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: 05/03/2006
	Date Received in OIRA: 03/09/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2009	05/31/2009	06/30/2006
Responses	6,000	0	6,000
Time Burden (Hours)	222,000	0	222,000
Cost Burden (Dollars)	68,136,000	0	101,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	6,000	6,000	0
Annual Time Burden (Hours)	222,000	222,000	0
Annual Cost Burden (Dollars)	68,136,000	101,000	68,035,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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