Request for CLIA categorization

Administrative Procedures for Clinical Laboratory Improvement Amendments of 1988 Categorization

Documents and Forms

Document Name Document Type
0910-0607_Guidance; Administrative Procedures for CLIA Categorization.pdf Other-Guidance; Administrative Proce

Information Collection (IC) Details

IC Title:	Request for CLIA categorization	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 493

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Guidance; Administrative Procedures for CLIA Categorization			0910-0607_Guidance; Administrative Procedures for CLIA Categorization.pdf		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 86	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	430	30	400
Annual IC Time Burden (Hours)	430	30	400
Annual IC Cost Burden (Dollars)	2,150	150	2,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.