View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3220-0185	ICR Reference No: 201401-3220-012
Status: Historical Active	Previous ICR Reference No: 201102-3220-001
Agency/Subagency: RRB	Agency Tracking No:
Title: Report of Medicaid State Office on Beneficiary's Buy-In Status
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: 04/29/2014
	Date Received in OIRA: 03/26/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2017	36 Months From Approved	04/30/2014
Responses	600	0	600
Time Burden (Hours)	100	0	100
Cost Burden (Dollars)	0	0	0

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