Information Collection

Request for CLIA categorization

IC 180758 under ICR 202504-0910-002 · OMB 0910-0607.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0910-0607_Guidance; Administrative Procedures for CLIA Categorization.pdf	Other-Guidance; Administrative Proce
0910-0607_Guidance; Administrative Procedures for CLIA Categorization.pdf	Other-Guidance; Administrative Proce

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 493

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
Other-Guidance; Administrative Procedures for CLIA Categorization					Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 86

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	430	30	400
Annual IC Time Burden (Hours)	430	30	400
Annual IC Cost Burden (Dollars)	2,150	150	2,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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