PRA IC List
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
End-Stage Renal Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting Regulations in 42 CFR 405.2110 and 42 CFR 405.2112
Modified
36
108
0
Instruction
CMS-685
Updated J 6 A Instructions with Disclosure statement
Form
CMS-685
CMS-685.FINAL J 6 E-NW 719 Semi Annual Cost Report with SIMS
Form
CMS-685
CMS-685.FINAL J 6 D-NW 719 Semi Annual Voucher Version with NCC
Form
CMS-685
CMS-685.FINAL J 6 C-NW 719 Monthly Voucher Version with SIMS_20060215.xls
Form
CMS-685
CMS-685.FINAL J 6 B-NW 719 Monthly Voucher Version with NCC
Total burden requested under this ICR:
36
108
0
To view an IC, click on IC Title
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.