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OMB Control No: 0938-1357	ICR Reference No: 202512-0938-002
Status: Received in OIRA	Previous ICR Reference No: 202206-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: CLIA Proficiency Testing (PT) (CMS-10690)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 12/02/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2026
Responses	1,335	350
Time Burden (Hours)	1,407	431
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,335	350	985
Annual Time Burden (Hours)	1,407	431	976
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The current number of nonwaived laboratories with the specialty of microbiology is 13,265, with 10% being 1,327. In addition, there are only 8 approved proficiency testing programs instead of 9, reducing the hours from 90 to 80. Overall, there was an increase in the number of burden hours from 431 to 1,407.

Annual Cost to Federal Government: $451

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Denise King 410 786-1013 Denise.King@cms.hhs.gov