View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-1049	ICR Reference No: 201610-0938-006
Status: Historical Inactive	Previous ICR Reference No: 201309-0938-005
Agency/Subagency: HHS/CMS	Agency Tracking No: CMS-10242
Title: Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 10/26/2016
	Date Received in OIRA: 10/26/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved	04/30/2017
Responses	15,633,781	0	15,633,781
Time Burden (Hours)	1,303,857	0	1,303,857
Cost Burden (Dollars)	0	0	0

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