Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
End Stage Renal Disease Medical Information System ESRD Facility Survey and Supporting Regulations in 42 CFR 405.2133 Modified 7726 15452 0 Form CMS-2744A&B
Instruction
Form CMS-2744 B
Total burden requested under this ICR: 7726 15452 0  
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