CLIA Budget Workload Reports and Supporting Regulations Contained in 42 CFR 493.1-.2001 (CMS-102, CMS-105)

ICR 201103-0938-007

OMB: 0938-0599

Federal Form Document

ICR Details
0938-0599 201103-0938-007
Historical Active 200711-0938-014
HHS/CMS
CLIA Budget Workload Reports and Supporting Regulations Contained in 42 CFR 493.1-.2001 (CMS-102, CMS-105)
Extension without change of a currently approved collection   No
Regular
Approved without change 05/06/2011
Retrieve Notice of Action (NOA) 03/20/2011
  Inventory as of this Action Requested Previously Approved
05/31/2014 36 Months From Approved 05/31/2011
50 0 50
4,500 0 4,500
0 0 0

Information collected is used by CMS to determine the amount of Federal Reimbursement for compliance surveys. Use of the information includes program evaluation, audit, budget formulation and budget approval.

US Code: 42 USC 353 Name of Law: PHS Act
   PL: Pub.L. 100 - 578 5471 Name of Law: CLIA
  
None

Not associated with rulemaking

  75 FR 79000 12/17/2010
76 FR 12122 03/04/2011
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 50 50 0 0 0 0
Annual Time Burden (Hours) 4,500 4,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$90,090
No
No
No
No
No
Uncollected
Mitch Bryman 410 786-5258 [email protected]

  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.
03/20/2011


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