Approved for use
through 2/93. OMB approved these requirements in less than 60 days
in the interest of not impeding surveyor trainin and initial
implementation of CLIA '88 by the regulatory effective dat of
September 1, 1992. This action's 6 month approval period was
determined with the understanding that additional changes are
forth- coming in response to the 2/28/92 final rule with comment.
OMB anticipates that HCFA will be updating these guidelines to
accomodate these changes.
Inventory as of this Action
Requested
Previously Approved
02/28/1993
02/28/1993
100,000
0
0
43,880
0
0
0
0
0
THIS SURVEY FORM IS AN INSTRUMENT USED
BY THE STATE AGENCY TO RECORD DATA COLLECTED IN ORDER TO DETERMINE
COMPLIANCE WITH CLIA. THIS INFORMATION IS NEEDED FOR LABORATORY
CERTIFICATION AND RECERTIFICATION
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.