PRA IC List
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Agenda
Reg Review
ICR
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, 42 CFR 413.24 and 42 CFR 413.178
Modified
5508
275400
0
Instruction
Form
CMS-265-94
Medicare Cost Report Forms
Total burden requested under this ICR:
5508
275400
0
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