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End-Stage Renal Disease Managed Care Demonstration Evaluation

IC 8366 under ICR 199802-0938-003 · OMB 0938-0715.

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Information Collection (IC) Details

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End-Stage Renal Disease Managed Care Demonstration Evaluation
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-219 Yes Yes


    

5,365 0
   
Private Sector Businesses or other for-profits
 
   75 %

  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 5,365 0 5,365 0 0 0
Annual IC Time Burden (Hours) 4,540 0 4,540 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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