Information Collection Request

CLIA Collection of Information Requirements Related to SARS-CoV-2 Test Results Reporting (CMS-10757)

ICR 202107-0938-010 · OMB 0938-1391 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Response to comments.docx Supplementary Document Uploaded 2021-07-28 Repair queued
CMS-10757 Supporting Statement - Part A 04082021.docx Supporting Statement A Uploaded 2021-07-29 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
244436 CMS-3401-IFC CLIA Information Collection Requirements Related to SARS-CoV-2 Test Results Reporting Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 08/31/2021
308,114 308,114
1,386,873 1,386,873
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
CMS-3401-IFC CLIA Information Collection Requirements Related to SARS-CoV-2 Test Results Reporting

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 308,114 308,114 0 0 0 0
Annual Time Burden (Hours) 1,386,873 1,386,873 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No