End Stage Renal Disease Application and Survey and Certification Report Form and Supporting Regulations 42 CFR 488.60

End Stage Renal Disease Application and Survey and Certification Report Form and Supporting Regulations 42 CFR 488.60

OMB: 0938-0360

IC ID: 8003

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End Stage Renal Disease Application and Survey and Certification Report Form and Supporting Regulations 42 CFR 488.60
 
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-3427 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 1,320 0 0 645 0 675
Annual IC Time Burden (Hours) 440 0 0 -1,186 0 1,626
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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