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Clinical Laboratory Improvement Amendments Of 1988, Fee Collection -- 42 Cfr Sections 493.614, 493.633, And 493.634
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS OF 1988, FEE COLLECTION -- 42 CFR SECTIONS 493.614, 493.633, AND 493.634
OMB: 0938-0607
IC ID: 114063
OMB.report
HHS/CMS
OMB 0938-0607
ICR 199203-0938-003
IC 114063
( )
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no available documents/forms check other ICs listed under this ICR
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IC Title:
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS OF 1988, FEE COLLECTION -- 42 CFR SECTIONS 493.614, 493.633, AND 493.634
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
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Form No.
Form Name
Instrument File
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Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HCFA-R-14
No
No
Federal Enterprise Architecture Business Reference Module
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Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1
0
1
0
0
0
Annual IC Time Burden (Hours)
1
0
1
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.