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 Modified 773737 844921 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 844921 0  
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