End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration (CMS-2728)

ICR 202305-0938-010

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0046 can be found here:

Forms and Documents

Document Name	Status
Form CMS-2728 End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration and Supporting Regulations in 42 CFR, 405.2133; PL 95-292; CFR Parts.... Form	Modified
CMS-2728 Response_to_Public_Comments 4-24-23.docx Supplementary Document	2023-05-30
CMS2728SupportStmt508 comment revisions 5-22-23.docx Supporting Statement A	2023-05-30

IC Document Collections

IC ID	Document Title	Status
7806	End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration and Supporting Regulations in 42 CFR, 405.2133; PL 95-292; CFR Parts.... Form	Modified

ICR Details