End Stage Renal Disease Death Notification, P.L. 95-292; 42 CFR 405.;2133; 45 CFR 5,5b; 20 CFR Parts 401, 422E

End Stage Renal Disease Death Notification, P.L. 95-292; 42 CFR 405.;2133; 45 CFR 5,5b; 20 CFR Parts 401, 422E

OMB: 0938-0448

IC ID: 8067

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End Stage Renal Disease Death Notification, P.L. 95-292; 42 CFR 405.;2133; 45 CFR 5,5b; 20 CFR Parts 401, 422E
 
No Migrated
 
Mandatory
 

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


    

4,360 0
   
Private Sector Businesses or other for-profits
 
   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 69,760 0 0 6,760 0 63,000
Annual IC Time Burden (Hours) 34,880 0 0 24,170 0 10,710
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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