View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0897	ICR Reference No: 201612-0938-022
Status: Historical Active	Previous ICR Reference No: 201307-0938-028
Agency/Subagency: HHS/CMS	Agency Tracking No: CMS-10088
Title: Notification of FIs and CMS of co-located Medicare providers and Supporting Regulations in 42 CFR 412.22 and 412.533
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/30/2017
	Date Received in OIRA: 12/28/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved
Responses	25	0	0
Time Burden (Hours)	6	0	0
Cost Burden (Dollars)	0	0	0

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