Form CMS-10639 Request Letter to Facilities Records

National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) (CMS-10639)

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1340 can be found here:

Document [file]

Download: file | pdf

File Type

inode/x-empty