Information Collection

Information Collection Requirements In 42 Cfr Part 405.1315, 1316, And 1317 Conditions Of Participation For Laboratories

IC 113567 under ICR 198705-0938-005 · OMB 0938-0368.

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IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-R-42				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,766

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,766	3,766
Annual IC Time Burden (Hours)	38,119	38,119
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.