View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0251	ICR Reference No: 200708-0938-006
Status: Historical Active	Previous ICR Reference No: 200408-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Application for Hospital Insurance
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: 12/10/2007
	Date Received in OIRA: 08/15/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	36 Months From Approved	12/31/2007
Responses	50,000	0	50,000
Time Burden (Hours)	12,495	0	12,500
Cost Burden (Dollars)	0	0	0

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