Excel Spreadsheet (Aggregate Burden Totals)
 2007%20CLIA%20Aggregate%20Burden%20Chart(1).xls
Information Collection Requirements (ICR) Contained in the Clinical Laboratory Improvement Amendments (CLIA) Regulations 42 CFR 493.1-.2001 (CMS-R-26)
Excel Spreadsheet (Aggregate Burden Totals)
OMB: 0938-0612
                        ⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0612 can be found here:
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		| CFR Section | Number of Respondents | Annual Frequency per Respondent | Total Annual Responses | Private | Federal | State | Annual Burden Hours | Comments | 
	
		| 493.35- 493.63 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | another collection | 
	
		| 493.801 | 43,035 | 3 | 129105 | 118776.6 | 2582.1 | 7746.3 | 258,210 | 
 | 
	
		| 493.803 | 43,035 | 3 | 129105 | 118776.6 | 2582.1 | 7746.3 | 129,105 | 
 | 
	
		| 493.1232 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1233 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1234 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1235 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1236 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1239 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1249 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1289 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1299 | 490 | 1 | 490 | 450.8 | 9.8 | 29.4 | 7840 | one-time burden | 
	
		| 
 | 70,455 | 12 | 845460 | 777823.2 | 16909.2 | 50727.6 | 2,536,380 | 
 | 
	
		| 
 | 11,765 | 12 | 141180 | 129885.6 | 2823.6 | 8470.8 | 1,129,440 | 
 | 
	
		| 
 | 82,220 | 12 | 986640 | 907708.8 | 19732.8 | 59198.4 | 1,233,300 | 
 | 
	
		| 493.1241 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1283 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1291 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1242 | 490 | 1 | 490 | 450.8 | 9.8 | 29.4 | 2940 | one-time burden | 
	
		| 
 | 53,443 | 1 | 53443 | 49167.56 | 1068.86 | 3206.58 | 26,722 | one-time burden | 
	
		| 493.1251 | 490 | 1 | 490 | 450.8 | 9.8 | 29.4 | 2940 | one-time burden | 
	
		| 
 | 82,220 | 1 | 82220 | 75642.4 | 1644.4 | 4933.2 | 53,443 | 
 | 
	
		| 
 | 82,220 | 1 | 82220 | 75642.4 | 1644.4 | 4933.2 | 1,644 | 
 | 
	
		| 493.1252 | 82,220 | 365 | 30010300 | 27609476 | 600206 | 1800618 | 986,640 | 
 | 
	
		| 493.1253 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no added burden | 
	
		| 493.1254 | 82,220 | 365 | 30010300 | 27609476 | 600206 | 1800618 | 1,644,400 | 
 | 
	
		| 493.1255 | 43,035 | 52 | 2237820 | 2058794.4 | 44756.4 | 134269.2 | 430,350 | 
 | 
	
		| 493.1256 | 27,685 | 365 | 10105025 | 9296623 | 202100.5 | 606301.5 | 664,440 | 
 | 
	
		| 493.1261 | 27,443 | 12 | 329316 | 302970.72 | 6586.32 | 19758.96 | 13,721.50 | 
 | 
	
		| 493.1262 | 4,312 | 365 | 1573880 | 1447969.6 | 31477.6 | 94432.8 | 32,868 | 
 | 
	
		| 493.1263 | 9,059 | 12 | 108708 | 100011.36 | 2174.16 | 6522.48 | 4,530 | 
 | 
	
		| 
 | 9,059 | 12 | 108708 | 100011.36 | 2174.16 | 6522.48 | 3,624 | 
 | 
	
		| 493.1269 | 32,753 | 365 | 11954845 | 10998457.4 | 239096.9 | 717290.7 | 224,106 | 
 | 
	
		| 493.1273 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | insignificant burden | 
	
		| 493.1274 | 4,478 | 365 | 1634470 | 1503712.4 | 32689.4 | 98068.2 | 895,600 | 
 | 
	
		| 
 | 4,478 | 365 | 1634470 | 1503712.4 | 32689.4 | 98068.2 | 6,717 | 
 | 
	
		| 
 | 4,478 | 365 | 1634470 | 1503712.4 | 32689.4 | 98068.2 | 895,600 | 
 | 
	
		| 
 | 4,478 | 365 | 1634470 | 1503712.4 | 32689.4 | 98068.2 | 179,120 | 
 | 
	
		| 493.1278 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | no burden | 
	
		| 493.1725-493.1780 | 
 | 
 | 0 | 0 | 0 | 0 | 
 | under another collection | 
	
		| TOTALS | 
 | 
 | 95427625 | 87793415 | 1908552.5 | 5725657.5 | 11363680.5 | 
 | 
	
		| Average Annual Frequency | 
 | 
 | 
 | 2194835.375 | 47713.8125 | 143141.4375 | 
 | 
 | 
| File Type | application/vnd.ms-excel | 
| Author | Raelene | 
| Last Modified By | sxp1 | 
| File Modified | 2007-11-30 | 
| File Created | 2007-09-26 |