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View ICR - OIRA Conclusion

OMB Control No: 0938-1088	ICR Reference No: 201103-0938-002
Status: Historical Active	Previous ICR Reference No: 201004-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: State Medicaid HIT Plan (SMHP) and Template for Implementation of Section 4201 of ARRA (CMS-10292)
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: 04/08/2011
	Date Received in OIRA: 03/03/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	36 Months From Approved	05/31/2013
Responses	56	0	56
Time Burden (Hours)	280	0	56
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	56	56	0
Annual Time Burden (Hours)	280	56	224
Annual Cost Burden (Dollars)	0	0	0

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: No

Burden Reduction Due to:

Short Statement: The revisions do not result in any changes or adjustments. Instead, the adjustment corrects a mathematical error.

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