Renal Disease Facility Cost And Statistical Questionnaire

RENAL DISEASE FACILITY COST AND STATISTICAL QUESTIONNAIRE

OMB: 0938-0048

IC ID: 166099

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RENAL DISEASE FACILITY COST AND STATISTICAL QUESTIONNAIRE
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA 9734 No No


    

600 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 600 0 0 0 0 600
Annual IC Time Burden (Hours) 600 0 0 0 0 600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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