CMS-2746 Non Substantive Change Memo EO14168 -5-14-25

To: Jamie Wilson

Office of Information and Regulatory Affairs (OIRA)

Office of Management and Budget (OMB)

From: William N. Parham III

Office of Strategic Operations and Regulatory Affairs (OSORA)

Centers for Medicare and Medicaid Services (CMS)

Date: May 14, 2025

Subject: Non-Substantive Change Request – End Stage Renal Disease Death Notification (OMB No: 0938-0046; CMS-2746)

This memo requests approval of a non-substantive change to the approved information collection titled End Stage Renal Disease Death Notification (OMB No: 0938-0048; CMS-2746)

Background

The ESRD Death Notification form (CMS-2746) is completed by all Medicare-approved ESRD facilities upon death of an ESRD patient. Its primary purpose is to collect fact of death and cause of death of ESRD patients. Certain other identifying information (e.g. Name, Social Security Number, Medicare claim number, and/or date of birth) is required for matching purposes. Federal regulations require that the ESRD Networks examine the mortality rates of every Medicare-approved facility within its area of responsibility. CMS-2746 provides the necessary data to assist the ESRD Networks in making decisions that result in improved patient care and in cost-effective distribution of ESRD resources. The data is used by the ESRD Networks to verify facility deaths and to monitor facility performance. The form is also used by health care planning agencies and researchers to determine survival rates by diagnoses. Health Care planning agencies request mortality rate data to determine the need for dialysis services in a specific area, CMS-2746 is used to calculate these statistics. There is no other source of death information available to the ESRD Networks.

Overview of Requested Changes

The Division of Kidney Health (DKH) in the Center for Clinical Standards and Quality (CCSQ) is requesting to make the following non-substantive edits to the currently approved information collection request. The requested edits will provide better alignment with Executive Order 14168—Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. Please see the attached redline document for a visual illustration of the non-substantive edits to form CMS-2746. The following changes have no impact on the currently approved burden for this information collection.

• Section A #8: Reformatted question from “Sex Assigned at Birth, on Your Original Birth Certificate” to “Sex of Patient”

• Section A #9: Removal of this question.