Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
In-Center Hemodialysis CAHPS Survey: National Implementation Modified 217600 58753 0 Other-Pre-Notification Letter (English and Spanish)
Other-Sample Cover Letter (English and Spanish)
Form CMS-10105 Medicare In-Center Hemodialysis Survey (English and Spanish)
Total burden requested under this ICR: 217600 58753 0  
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