View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0544	ICR Reference No: 199301-0938-006
Status: Historical Active	Previous ICR Reference No: 199207-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: SURVEY REPORT FORM (CLIA)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 01/27/1993
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/27/1993
	Date Received in OIRA: 01/27/1993
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1993	05/31/1993	02/28/1993
Responses	100,000	0	100,000
Time Burden (Hours)	43,880	0	43,880
Cost Burden (Dollars)	0	0	0

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