Alternate Quality Assessment Survey and Supporting Regulations in 42 CFR 493.1-.2001

ICR 199805-0938-007

OMB: 0938-0650

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0650 199805-0938-007
Historical Active 199803-0938-007
HHS/CMS
Alternate Quality Assessment Survey and Supporting Regulations in 42 CFR 493.1-.2001
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/14/1998
Retrieve Notice of Action (NOA) 05/14/1998
  Inventory as of this Action Requested Previously Approved
05/31/2001 05/31/2001 05/31/2001
4,000 0 4,000
10,000 0 10,000
0 0 0

Used for those CLIA laboratories with excellent performance determined on last onsite survey. Revised to reflect CLIA's outcome oriented onsite inspection process, to reduce burden, and to enhance the CLIA program by rewarding good performance and facilitating quality assurance. Designed to determine current compliance as well as prepare laboratories for future onsite surveys.

None
None


No

1
IC Title Form No. Form Name
Alternate Quality Assessment Survey and Supporting Regulations in 42 CFR 493.1-.2001 HCFA-667

  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 4,000 4,000 0 0 0 0
Annual Time Burden (Hours) 10,000 10,000 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.
05/14/1998


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