Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1 - 493.2001

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

OMB: 0938-0151

IC ID: 7865

Information Collection (IC) Details

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Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1 - 493.2001
 
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

 

17,809 8,905
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 8,905 0 0 81 0 8,824
Annual IC Time Burden (Hours) 4,452 0 0 40 0 4,412
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk CMS-209 crosswalk 2017.pdf 03/26/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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