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0938-0544 199911-0938-006
Historical Active 199610-0938-009
HHS/CMS
Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and Supporting Regulations in 42 CFR 493.1-493-2001
Extension without change of a currently approved collection   No
Regular
Approved without change 01/11/2000
11/12/1999
Approved for use through 1/2003 under the condition that HCFA promptly submits these forms and instructions for PRA review upon finalization of new CLIA regulatory amendments.
  Inventory as of this Action Requested Previously Approved
02/28/2003 02/28/2003 01/31/2000
15,526 0 15,112
7,628 0 16,322
0 0 0