Information Collection

Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1-493.2001

IC 7863 under ICR 199912-0938-008 · OMB 0938-0151.

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Information Collection (IC) Details

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IC Title:	Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1-493.2001	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-0209				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	13,250	125	13,125
Annual IC Time Burden (Hours)	6,625	62	6,563
Annual IC Cost Burden (Dollars)	0	0	0

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