Information Collection Request

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

ICR 202408-0938-011 · OMB 0938-1289 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10569 EQRS Global App Form and Instruction Modified Available
Form CMS-10569 Letter to Facilities - data collection Form and Instruction Modified Available
Form CMS-10569 : End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network Form and Instruction Modified Repair queued
CMS-10569 Supporting Statement A EQRS CY 2025.docx Supporting Statement A Uploaded 2024-08-12 Repair queued
CMS-10569 Supporting Statement A EQRS CY 2025.docx Supporting Statement A Uploaded 2024-08-12 Repair queued
CMS-10569 Supporting Statement B EQRS CY 2025 (06-28-2024).docx Supporting Statement B Uploaded 2024-08-12 Available
CMS-10569 Supporting Statement B EQRS CY 2025 (06-28-2024).docx Supporting Statement B Uploaded 2024-08-12 Repair queued

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2027 36 Months From Approved 01/31/2027
507,837 0 507,837
1,848,212 0 1,848,212
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
: End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network CMS-10569, CMS-10569 ,  



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