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

IC 7865 under ICR 202504-0938-016 · OMB 0938-0151.

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Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
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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) FINAL CMS-209-508 compliant 09.17.24.pdf Yes No Fillable Printable

Health Health Care Services

 

16,404 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 8,202 0 -1,380 0 9,582 0
Annual IC Time Burden (Hours) 4,101 0 -690 0 4,791 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk 2024 CMS-209 Revision Crosswalk.docx 05/13/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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