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View ICR - OIRA Conclusion

OMB Control No: 0938-0897	ICR Reference No: 201307-0938-028
Status: Historical Active	Previous ICR Reference No: 201006-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No: 20164
Title: Notification of FIs and CMS of co-located Medicare providers and Supporting Regulations in 42 CFR 412.22 and 412.533
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: 09/26/2013
	Date Received in OIRA: 07/30/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved	09/30/2013
Responses	25	0	25
Time Burden (Hours)	6	0	6
Cost Burden (Dollars)	0	0	0

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