Information Collection

Clinical Laboratory Improvement Amendments Of 1988, Regulation Hsq-176-fc, Section 42 Cfr Part 493

IC 114071 under ICR 199205-0938-001 · OMB 0938-0612.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0612 can be found here:

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Information Collection (IC) Details

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IC Title:	CLINICAL LABORATORY IMPROVEMENT AMENDMENTS OF 1988, REGULATION HSQ-176-FC, SECTION 42 CFR PART 493	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-R-26				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 199,950	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	199,950	199,950
Annual IC Time Burden (Hours)	17,888,923	17,888,923
Annual IC Cost Burden (Dollars)	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.