INFORMATION COLLECTION REQUIREMENTS IN 42 CFR PART 405.1315, 1316, AND 1317 CONDITIONS OF PARTICIPATION FOR LABORATORIES

ICR 198705-0938-005

OMB: 0938-0368

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0368 198705-0938-005
Historical Active 198606-0938-006
HHS/CMS
INFORMATION COLLECTION REQUIREMENTS IN 42 CFR PART 405.1315, 1316, AND 1317 CONDITIONS OF PARTICIPATION FOR LABORATORIES
Extension without change of a currently approved collection   No
Regular
Approved without change 08/07/1987
Retrieve Notice of Action (NOA) 05/22/1987
  Inventory as of this Action Requested Previously Approved
05/31/1988 05/31/1988 05/31/1987
3,766 0 3,766
38,119 0 38,119
0 0 0

LABORATORIES PARTICIPATING IN MEDICARE AR REQUIRED TO MAINTAIN THIS INFORMATION IN ORDER TO SHOW COMPLIANCE WITH PUBLISHED HEALTH AND SAFETY REQUIREMENTS.

None
None


No

1
IC Title Form No. Form Name
INFORMATION COLLECTION REQUIREMENTS IN 42 CFR PART 405.1315, 1316, AND 1317 CONDITIONS OF PARTICIPATION FOR LABORATORIES HCFA-R-42

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,766 3,766 0 0 0 0
Annual Time Burden (Hours) 38,119 38,119 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/22/1987


© 2024 OMB.report | Privacy Policy