Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
In-Center Hemodialysis CAHPS Survey: Mode Modified 5000 1350 0 Form CMS-10105
Form CMS-10105
In-Center Hemodialysis CAHPS Survey: National Implementation New 320000 86400 0 Form CMS-10105
Form CMS-10105
Total burden requested under this ICR: 325000 87750 0  
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