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 Medical Information System ESRD Facility Survey and Supporting Regulations in 42 CFR 405.2133
Modified
7726
15452
0
Form
CMS-2744A&B
END STAGE RENAL DISEASE MEDICAL INFORMATION SYSTEM ESRD FACILITY SURVEY
Instruction
Form
CMS-2744 B
ESRD Medical Information System ESRD Facility Survey
Total burden requested under this ICR:
7726
15452
0
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