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
National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP)
Unchanged
6000
1500
0
Form and Instruction
CMS-10639
Request Letter to Facilities Records
Form and Instruction
CMS-10639
Request Letter to Facilities - List
Total burden requested under this ICR:
6000
1500
0
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