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: 0938-0829	ICR Reference No: 201308-0938-010
Status: Historical Active	Previous ICR Reference No: 201304-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No: 20197
Title: Notice of Denial of Medical Coverage (or Payment) (NDMCP)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/19/2013
	Date Received in OIRA: 08/07/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2016	06/30/2016	06/30/2016
Responses	6,960,410	0	6,960,410
Time Burden (Hours)	1,159,604	0	1,159,604
Cost Burden (Dollars)	0	0	0

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