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

CLIA Budget Workload Reports and Supporting Regulations (CMS-102, CMS-105)

OMB: 0938-0599

IC ID: 8201

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CLIA Budget Workload Reports and Supporting Regulations Contained in 42 CFR 493.1-.2001 (CMS-102, CMS-105)
 
No Modified
 
Voluntary
 
42 CFR 493.1-.2001

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-102 CLIA Budget/Expenditure Report CMS-102 form.pdf Yes Yes Fillable Printable
Form and Instruction CMS-105 Planned Workload Report 10511.pdf Yes Yes Fillable Printable

Health Health Care Services

 

50 0
   
State, Local, and Tribal Governments
 
   0 %

  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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 4,500 0 0 0 0 4,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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