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
Form CMS-2744B
Form CMS-2744A
Total burden requested under this ICR: 5964 47712 0  
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