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

ICR 201204-0938-006

OMB: 0938-0653

Federal Form Document

ICR Details
0938-0653 201204-0938-006
Historical Active 200904-0938-008
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 08/08/2012
Retrieve Notice of Action (NOA) 04/27/2012
  Inventory as of this Action Requested Previously Approved
08/31/2015 36 Months From Approved 08/31/2012
10,244 0 10,500
2,561 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

  77 FR 6124 02/07/2012
77 FR 23265 04/18/2012
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 10,244 10,500 0 0 -256 0
Annual Time Burden (Hours) 2,561 2,625 0 0 -64 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$72,240
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.
04/27/2012


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