: End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network

(CMS-10569) Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb)

OMB: 0938-1289

IC ID: 217583

Information Collection (IC) Details

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: End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10569 Screen shots PRA Package CW Screen Shots.docx Yes Yes Fillable Fileable

Health Health Care Services

 

6,264 958
   
Private Sector Businesses or other for-profits, 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 773,737 0 0 0 0 773,737
Annual IC Time Burden (Hours) 1,917,852 0 1,072,931 0 0 844,921
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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