Clinical Laboratory Improvement Amendments Application Form 42 CFR 493.1-.2001 (CMS-116)

ICR 202509-0938-012

OMB: 0938-0581

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-116 Clinical Laboratory Improvement Amendments Application Form 42 CFR 493.1-.2001 (CMS-116) Form and Instruction	Modified
CMS-116_Supporting_Statement 6-17-25 clean.docx Supporting Statement A	2025-09-12

IC Document Collections

IC ID	Document Title	Status
8193	Clinical Laboratory Improvement Amendments Application Form 42 CFR 493.1-.2001 (CMS-116) Form and Instruction	Modified