Paperwork Burden Associated With The End-stage Renal Disease Facility Survey

PAPERWORK BURDEN ASSOCIATED WITH THE END-STAGE RENAL DISEASE FACILITY SURVEY

OMB: 0938-0085

IC ID: 112824

Documents and Forms
Document Name
Document Type
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Information Collection (IC) Details

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PAPERWORK BURDEN ASSOCIATED WITH THE END-STAGE RENAL DISEASE FACILITY SURVEY
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R16 No No


    

720 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Requested 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 720 0 0 720 0 0
Annual IC Time Burden (Hours) 8,640 0 0 8,640 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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