Private Sector - Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and supporting regulations in 42 CFR 493.1-493.2001

Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and supporting regulations (CMS-1557)

OMB: 0938-0544

IC ID: 8149

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Private Sector - Survey Report Form Clinical Laboratory Improvement Amendments (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-1557 Survey Report Form (CLIA) cms1557.pdf Yes No Fillable Fileable

Health Health Care Services

 

17,809 7,783
   
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) 4,453 0 0 41 0 4,412
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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