Physician Financial Interest In Clinical Laboratories Survey Form

PHYSICIAN FINANCIAL INTEREST IN CLINICAL LABORATORIES SURVEY FORM

OMB: 0938-0586

IC ID: 114039

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PHYSICIAN FINANCIAL INTEREST IN CLINICAL LABORATORIES SURVEY FORM
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-96 No No
Form 97 No No


    

3,000 0
   
Private Sector Businesses or other for-profits
 
   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 3,000 0 0 -317,000 0 320,000
Annual IC Time Burden (Hours) 2,250 0 0 -157,750 0 160,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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