View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0544	ICR Reference No: 199009-0938-011
Status: Historical Active	Previous ICR Reference No: 198904-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: MEDICARE - DEPARTMENTAL CLINICAL LABORATORY SURVEY REPORT FORM
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/21/1990
	Date Received in OIRA: 09/25/1990
Terms of Clearance: Approved for use through 6/92 when the Department will make changes to fully implement CLIA 88.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1992	06/30/1992
Responses	5,060	0	0
Time Burden (Hours)	880	0	0
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.