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: 0938-1042	ICR Reference No: 201407-0938-003
Status: Historical Active	Previous ICR Reference No: 201104-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process
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: 09/30/2014
	Date Received in OIRA: 07/03/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	09/30/2014
Responses	300	0	300
Time Burden (Hours)	3,300	0	3,300
Cost Burden (Dollars)	0	0	0

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