Laboratory Personnel Report (CMS-209)

Laboratory Personnel Report (CLIA) and Supporting Regulations (CMS-209)

OMB: 0938-0151

IC ID: 186047

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Information Collection (IC) Details

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Laboratory Personnel Report (CMS-209)
 
No Modified
 
Mandatory
 
42 CFR 493.1-493.2001

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-209 Laboratory Personnel Report (CLIA) CMS-209 formm .23Jan 2018.pdf Yes No Fillable Printable

Health Health Care Services

 

77 39
   
Federal Government
 
   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 39 0 0 -3 0 42
Annual IC Time Burden (Hours) 19 0 0 -2 0 21
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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