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 413.20 and 42 CFR 413.24 Modified 4885 957460 0 Form and Instruction CMS-265-94 Independent Renal Dialysis Facility Cost Report
Instruction
Instruction
Total burden requested under this ICR: 4885 957460 0  
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