View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-1065	ICR Reference No: 201111-0938-006
Status: Historical Active	Previous ICR Reference No: 201001-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: CHIPRA 2009, Dental Provider and Benefit Information Posted on Insure Kids Now! Website (CMS-10291)
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: 12/20/2011
	Date Received in OIRA: 11/08/2011
Terms of Clearance: The OMB control number (0938-1065) and expiration date must be displayed on data collection instruments approved under this action.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2014	36 Months From Approved	01/31/2013
Responses	255	0	255
Time Burden (Hours)	9,690	0	9,180
Cost Burden (Dollars)	0	0	0

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