Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
End Stage Renal Disease Death Notification, P.L. 95-292; 42 CFR 405.2133; 45 CFR 5,5b; 20 CFR Parts 401, 422E Modified 101491 50746 0 Form CMS-2746 ESRD Death Notification Form
Total burden requested under this ICR: 101491 50746 0  
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