View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0976	ICR Reference No: 201008-0938-019
Status: Historical Active	Previous ICR Reference No: 200809-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Notice of Denial of Medicare Prescription Drug Coverage
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: 11/23/2010
	Date Received in OIRA: 08/26/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2013	36 Months From Approved	10/31/2011
Responses	290,344	0	290,344
Time Burden (Hours)	145,172	0	145,172
Cost Burden (Dollars)	0	0	0

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