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Federal forms, ICRs, and supporting documents

Information Collection Request

Physicians Comprehensive Survey of the CLIA Standards for the Operation of Physicians Office Laboratory

ICR 199702-0920-004 · OMB 0920-0408 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6816 Physicians Comprehensive Survey of the CLIA Standards for the Operation of Physicians Office Laboratory Migrated
ICR Details
0920-0408 199702-0920-004
Historical Active
HHS/CDC
Physicians Comprehensive Survey of the CLIA Standards for the Operation of Physicians Office Laboratory
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/11/1997
Retrieve Notice of Action (NOA) 02/10/1997
Approved for use through 6/98 under the following conditions: 1) CDC immediately incorporates the new disclosure statements mandated by the Paperwork Reduction Act of 1995. For the public record, CDC must submit to OMB the revised forms/instructions; and 2) for the public record, CDC submits to OMB a plan for monitoring the response rate at critical points in the survey process and alternatives strategies that may improve the response rate in the follow-up rounds.
  Inventory as of this Action Requested Previously Approved
06/30/1998 06/30/1998
4,479 0 0
896 0 0
0 0 0
Nationally representative samples of seven physician specialty groups will be surveyed regarding their knowledge of CLIA requirements for operation of physician office laboratories.
None
None
No
1
IC Title Form No. Form Name
Physicians Comprehensive Survey of the CLIA Standards for the Operation of Physicians Office Laboratory
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,479 0 0 4,479 0 0
Annual Time Burden (Hours) 896 0 0 896 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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.
02/10/1997