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 (ESRD) Quality Incentive Program (QIP): Study of Quality and Patient Experience
New
1945
604
0
Form and Instruction
CMS-10823
Appendix A
Form and Instruction
CMS-10823
Appendix B
Form and Instruction
CMS-10823
Appendix C
Form and Instruction
CMS-10823
Appendix D
Form and Instruction
CMS-10823
Appendix E
Form and Instruction
CMS-10823
Appendix F
Form and Instruction
CMS-10823
Appendix G
Form and Instruction
CMS-10823
Appendix H
Form and Instruction
CMS-10823
Appendix I
Form and Instruction
CMS-10823
Appendix J
Total burden requested under this ICR:
1945
604
0
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