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2023 IPRO ESRD Collaborator Satisfaction Survey (CMS-10750) CCSQ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10750 DRAFT IPRO ESRD Network 1 Collaborator Survey (2023) DRAFT 2023 Collaborator Survey ESRD NW1.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10750 DRAFT IPRO ESRD Network 2 Collaborator Survey (2023) DRAFT 2023 Collaborator Survey ESRD NW2.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10750 DRAFT IPRO ESRD Network 6 Collaborator Survey (2023) DRAFT 2023 Collaborator Survey ESRD NW6.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10750 DRAFT IPRO ESRD Network 9 Collaborator Survey (2023) DRAFT 2023 Collaborator Survey ESRD NW9.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

1,453 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,453 0 1,453 0 0 0
Annual IC Time Burden (Hours) 245 0 245 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement CMS-10750 Generic clearance Submission IPRO ESRD.docx 07/21/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.