Information Collection

Laboratory Medicine Best Practices Project Data Submission Form

IC 192353 under ICR 201304-0920-010 · OMB 0920-0848.

Documents and Forms

Document Name Document Type
Laboratory Medicine Best Practices Project Data Submission Form Form and Instruction
LMBP Project Summary Attachment C LMBP Data Submission Form and instructions.docm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Laboratory Medicine Best Practices Project Data Submission Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	LMBP Project Summary	Attachment C LMBP Data Submission Form and instructions.docm		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.