Information Collection

Request for CLIA categorization

IC 180758 under ICR 201309-0910-010 · OMB 0910-0607.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0607 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CLIA Guidance 0607.pdf CLIA Admin Guidance	IC Document

IC Title:

Request for CLIA categorization

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 493.17

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	900	900
Annual IC Cost Burden (Dollars)	46,800	46,800

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CLIA Admin Guidance	CLIA Guidance 0607.pdf	07/29/2010

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