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View ICR - OIRA Conclusion

OMB Control No: 0938-0147	ICR Reference No: 201609-0938-019
Status: Historical Active	Previous ICR Reference No: 201308-0938-028
Agency/Subagency: HHS/CMS	Agency Tracking No: 20378
Title: State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations
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: 02/01/2017
	Date Received in OIRA: 09/29/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2020	36 Months From Approved	01/31/2017
Responses	120	0	120
Time Burden (Hours)	960	0	960
Cost Burden (Dollars)	0	0	0

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