View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0933	ICR Reference No: 201102-0938-014
Status: Historical Active	Previous ICR Reference No: 200801-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: 1932 State Plan Amendment Template, State Plan Requirements, and Supporting Regulations in 42 CFR 438.50 (CMS-10120)
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: 03/24/2011
	Date Received in OIRA: 02/28/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved	03/31/2011
Responses	10	0	10
Time Burden (Hours)	100	0	100
Cost Burden (Dollars)	0	0	0

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