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 5654 367510 0 Instruction
Instruction
Instruction
Form CMS-265-11 Independent Renal Dialysis Facility Cost Report
Total burden requested under this ICR: 5654 367510 0  
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