View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0829	ICR Reference No: 200704-0938-008
Status: Historical Active	Previous ICR Reference No: 200403-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: of Denial of Medical Coverage (NDMC), and the Notice of Denial of Payment (NDP) - 42 CFR 422.568
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: 08/23/2007
	Date Received in OIRA: 04/19/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2010	36 Months From Approved	08/31/2007
Responses	105,138	0	71,200
Time Burden (Hours)	26,285	0	7,120
Cost Burden (Dollars)	0	0	0

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