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: 0938-0599	ICR Reference No: 200109-0938-004
Status: Historical Active	Previous ICR Reference No: 199805-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: CLIA Budget Workload Reports and Supporting Regulations Contained in 42 CFR 493.1-.2001
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/20/2001
	Date Received in OIRA: 09/25/2001
Terms of Clearance: Approved for use through 11/2004 under the condition that in the next printing, CMS deletes the OMB address from the PRA disclo- sure statements on these forms.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2004	11/30/2004	11/30/2001
Responses	50	0	331
Time Burden (Hours)	4,500	0	4,500
Cost Burden (Dollars)	0	0	0

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