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
End Stage Renal Disease Medical Information System ESRD Facility Survey and Supporting Regulations in 42 CFR 405.2133
Modified
5964
47712
0
Instruction
CMS-2744
ESRD Facility Survey Instructions for Completion
Form
CMS-2744B
End Stage Renal Disease Medical Information System ESRD Facility Survey (Transplant Centers Only)
Form
CMS-2744A
End Stage Renal Disease Medical Information System ESRD Facility Survey (Dialysis Units Only)
Total burden requested under this ICR:
5964
47712
0
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