Esrd Transplant Information--end-stage Renal Disease Medical Information System

ESRD TRANSPLANT INFORMATION--END-STAGE RENAL DISEASE MEDICAL INFORMATION SYSTEM

OMB: 0938-0064

IC ID: 112733

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no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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ESRD TRANSPLANT INFORMATION--END-STAGE RENAL DISEASE MEDICAL INFORMATION SYSTEM
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form THRU 46 No No
Form HCFA-2742, No No


    

148 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 411,340 0 0 0 0 411,340
Annual IC Time Burden (Hours) 27,381 0 1,244 0 0 26,137
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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