Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Independent Renal Dialysis Facility Cost Report and Supporting Regulations 42 CFR 413.198 and 42 CFR 413.20 Migrated 2472 484512 0 Form HCFA-265
Total burden requested under this ICR: 2472 484512 0  
To view an IC, click on IC Title