View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0626	ICR Reference No: 200607-0938-013
Status: Historical Active	Previous ICR Reference No: 200307-0938-013
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Electronic Funds Transfer Authorization Agreement
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: 08/28/2006
	Date Received in OIRA: 07/13/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2009	36 Months From Approved	09/30/2006
Responses	100,000	0	10,000
Time Burden (Hours)	100,000	0	1,250
Cost Burden (Dollars)	0	0	0

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