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 Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network
New
773737
985741
0
Form and Instruction
CMS-10569
HD Clinical Page
Form and Instruction
CMS-10569
PD Clinical Page
Form and Instruction
CMS-10569
Clinical Depression Screenshot
Form and Instruction
CMS-10569
Pain Assessment Screenshot
Total burden requested under this ICR:
773737
985741
0
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The .gov means it's official.
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