View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0147	ICR Reference No: 200910-0938-016
Status: Historical Active	Previous ICR Reference No: 200607-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations at 42 CFR 431.800 - 431.865
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/30/2009
	Date Received in OIRA: 10/30/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	36 Months From Approved	12/31/2009
Responses	120	0	120
Time Burden (Hours)	960	0	960
Cost Burden (Dollars)	0	0	0

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