Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777 (CMS-668B)

ICR 200904-0938-008

OMB: 0938-0653

Federal Form Document

ICR Details
0938-0653 200904-0938-008
Historical Active 200605-0938-004
HHS/CMS
Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777 (CMS-668B)
Extension without change of a currently approved collection   No
Regular
Approved without change 06/24/2009
Retrieve Notice of Action (NOA) 04/14/2009
Due to a low response rate, CMS should continue not to use information collected through this collection as an impetus for program changes without further coordination with OMB.
  Inventory as of this Action Requested Previously Approved
06/30/2012 36 Months From Approved 08/31/2009
10,500 0 10,500
2,625 0 2,625
0 0 0

To provide an opportunity and a mechanism for CLIA laboratories surveyed by CMS or CMS' agent to express their satisfaction and concerns about the CLIA survey process.

PL: Pub.L. 100 - 578 42.493 Name of Law: CLIA
  
None

Not associated with rulemaking

  73 FR 76034 12/15/2008
74 FR 9819 03/06/2009
No

  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 10,500 10,500 0 0 0 0
Annual Time Burden (Hours) 2,625 2,625 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$72,240
No
No
Uncollected
Uncollected
No
Uncollected
Melissa Musotto 4107866962

  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.
04/14/2009


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