View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1545-1875	ICR Reference No: 201308-1545-074
Status: Historical Active	Previous ICR Reference No: 201006-1545-014
Agency/Subagency: TREAS/IRS	Agency Tracking No: lvd-1545-1875
Title: Revenue Procedure 2004-12, Health Insurance Costs of Eligible Individuals
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: 12/09/2013
	Date Received in OIRA: 09/30/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	12/31/2013
Responses	51	0	51
Time Burden (Hours)	26	0	26
Cost Burden (Dollars)	0	0	0

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