End-Stage Renal Disease (ESRD) Network Business Proposal Forms and Supporting Regulations in 432 CFR 405.2110 and 42 CFR 405.2112

End-Stage Renal Disease (ESRD) Network Business Proposal Forms and Supporting Regulations in 432 CFR 405.2110 and 42 CFR 405.2112

OMB: 0938-0658

IC ID: 8239

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End-Stage Renal Disease (ESRD) Network Business Proposal Forms and Supporting Regulations in 432 CFR 405.2110 and 42 CFR 405.2112
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-684A-684I Yes Yes


    

18 0
   
Private Sector Not-for-profit institutions
 
   100 %

  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 36 0 0 0 0 36
Annual IC Time Burden (Hours) 1,080 0 0 0 0 1,080
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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