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

ICR 202408-0938-012

OMB: 0938-1340

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10639 National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Form and Instruction	Unchanged
CMS-10639 Supporting Statement A NHSN CY 2025.docx Supporting Statement A	2024-08-12
CMS-10639 Supporting Statement B NHSN CY 2025.docx Supporting Statement B	2024-08-12

IC Document Collections

IC ID	Document Title	Status
224551	National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Form and Instruction	Unchanged