View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0976	ICR Reference No: 200603-0938-013
Status: Historical Active	Previous ICR Reference No: 200509-0938-016
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Notice of Denial of Medicare Prescription Drug Coverage
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/22/2006
	Date Received in OIRA: 03/22/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2008	11/30/2008	11/30/2008
Responses	1,056,000	0	1,056,000
Time Burden (Hours)	528,000	0	528,000
Cost Burden (Dollars)	53,000	0	53,000

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	1,056,000	1,056,000
Annual Time Burden (Hours)	528,000	528,000
Annual Cost Burden (Dollars)	53,000	53,000

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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