Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1 - 493.2001 Modified 9645 4822 0 Form and Instruction CMS-209 Laboratory Personnel Report (CLIA)
Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1-493.2001 (CMS-209) New 810 405 0 Form and Instruction CMS-209 Laboratory Personnel Report
Laboratory Personnel Report (CMS-209) New 45 23 0 Form and Instruction CMS-209 Laboratory Personnel Report
Total burden requested under this ICR: 10500 5250 0  
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