OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Laboratory Medicine Best Practices Project Data Submission Form

IC 192353 under ICR 201204-0920-003 · OMB 0920-0848.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Laboratory Medicine Best Practices Project Data Submission Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment C LMBP Data Collection -Submission Form.doc Yes Yes Fillable Printable
Instruction Attachment 2 LMBP Data Instructions.docx Yes No Paper Only
Form 1 LMBP Quality Improvement (QI) Data Submission Form Attachment 1 Revised Data Submission Form.doc No No Fillable Fileable

Health Public Health Monitoring

 

150 20
   
Private Sector Not-for-profit institutions
 
   100 %

  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 150 0 0 0 0 150
Annual IC Time Burden (Hours) 100 0 0 0 0 100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment D_Draft LMBP Evidence Summary Table Format Attachment D_Draft LMBP Evidence Summary Table Format .doc 11/20/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.