View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0193	ICR Reference No: 200711-0938-009
Status: Historical Active	Previous ICR Reference No: 200707-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Transmittal and Notice of Approval of State Plan Material and Supporting Regulations in 42 CFR 430.10-430.20 and 440.167
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: 02/04/2008
	Date Received in OIRA: 11/19/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	10/31/2010	10/31/2010
Responses	56	0	56
Time Burden (Hours)	560	0	560
Cost Burden (Dollars)	0	0	840

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	56	56	0
Annual Time Burden (Hours)	560	560	0
Annual Cost Burden (Dollars)	0	840	-840

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There are no capital costs. We are submitting this 83-C to remove the $840 from what was recently approved.

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.