End Stage Renal Disease Death Notification

End Stage Renal Disease Death Notification

OMB: 0938-0448

IC ID: 8065

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Information Collection (IC) Details

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End Stage Renal Disease Death Notification
 
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 CMS-2746 No No


    

4,000 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 56,258 0 0 3,604 0 52,654
Annual IC Time Burden (Hours) 9,564 0 0 613 0 8,951
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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