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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....
End Stage Renal Disease Medical Evidence Report Medicare Entitlement and/or Patient Registration (CMS-2728)
OMB: 0938-0046
IC ID: 7806
OMB.report
HHS/CMS
OMB 0938-0046
ICR 202305-0938-010
IC 7806
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0046 can be found here:
2024-02-09 - No material or nonsubstantive change to a currently approved collection
2023-11-28 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
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
CMS-2728 ESRD Medical Evidence Report
CMS2728i508 comment revisions clean v2.docx
Form
CMS-2728 instrument 508 redline 3-9-23.docx
CMS-2728 instrument - redline
IC Document
CMS-2728 Crosswalk 508 redline 3-9-23.docx
Crosswalk redline
IC Document
CMS-2728 Crosswalk 508 3-9-23 clean.docx
Crosswalk
IC Document
Information Collection (IC) Details
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