View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0915-0293	ICR Reference No: 200807-0915-004
Status: Historical Active	Previous ICR Reference No: 200507-0915-003
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Free Clinics FTCA Program Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/08/2008
	Date Received in OIRA: 07/31/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2011	36 Months From Approved	09/30/2008
Responses	150	0	150
Time Burden (Hours)	2,400	0	2,400
Cost Burden (Dollars)	0	0	0

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