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End Stage Renal Disease Death Notification

IC 7807 under ICR 199704-0938-007 · OMB 0938-0048.

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Information Collection (IC) Details

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End Stage Renal Disease Death Notification
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-2746 No No


    

2,900 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 40,600 0 40,600 0 0 0
Annual IC Time Burden (Hours) 6,902 0 6,902 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
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