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
5677
369005
0
Form
CMS-265-11
Independent Renal Dialysis Facility Cost Report
Instruction
Total burden requested under this ICR:
5677
369005
0
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