View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0778	ICR Reference No: 200701-0938-013
Status: Historical Active	Previous ICR Reference No: 200311-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111
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: 04/17/2007
	Date Received in OIRA: 01/12/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2010	36 Months From Approved	04/30/2007
Responses	42,966	0	616
Time Burden (Hours)	4,236	0	438
Cost Burden (Dollars)	0	0	0

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