Information Collection

CMS-3401-IFC CLIA Information Collection Requirements Related to SARS-CoV-2 Test Results Reporting

IC 244436 under ICR 202107-0938-010 · OMB 0938-1391.

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IC Title:

CMS-3401-IFC CLIA Information Collection Requirements Related to SARS-CoV-2 Test Results Reporting

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 493.41, 493.555(c), 493.1100a

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 77,033

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	308,114	308,114
Annual IC Time Burden (Hours)	1,386,873	1,386,873
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.