View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0107	ICR Reference No: 201106-0938-003
Status: Historical Active	Previous ICR Reference No: 200803-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Independent Rural Health Center/Freestanding Federally Qualified Health Center Cost Report and Supp. Regs in 42 CFR Sections 413.20 and 413.24
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 with change	Conclusion Date: 08/11/2011
	Date Received in OIRA: 06/07/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	08/31/2011
Responses	5,812	0	3,159
Time Burden (Hours)	290,600	0	157,950
Cost Burden (Dollars)	0	0	0

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