OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

End State Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations (CMS-R-52)

OMB 0938-0386 · HHS/CMS.

OMB 0938-0386

This package applies to existing Medicare End-stage Renal Disease (ESRD) conditions for coverage (CfCs) at 42 CFR 494.

The latest form for End State Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations (CMS-R-52) expires 2028-09-30 and is listed under ICR 202504-0938-015.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
CMS-R-52 Supporting Statement 508 Compliant 11-22-24.docxSupporting Statement A
CMS-R-52 Supporting Statement 508 Compliant 11-22-24.docxSupporting Statement A
42 CFR 494.180(k) Information collection
42 CFR 494.70(c) part 3 Information collection
42 CFR 494.70 Information collection
42 CFR 494.70(c) part 2 Information collection
42 CFR 494.60(d)(4) old facilities Information collection
42 CFR 494.180 (h) Information collection
42 CFR 494.180(g)(3) old facilities Information collection
42 CFR 494.180(g)(3) new facilities Information collection
42 CFR 494.180(g)(2) Information collection
42 CFR 494.180 (f)(4)(iii) Information collection
42 CFR 494.180(f)(4)(ii) Information collection
42 CFR 494.180 (e) Information collection
42 CFR 494.170 (d) Information collection
42 CFR 494.110 all facilities Information collection
42 CFR 494.110 new facilities Information collection
42 CFR 494.100(C)(1) Information collection
42 CFR 494.60(d)(4) new facilities Information collection
42 CFR 494.40(c) Information collection
42 CFR 494.30(b)(3) and 494.40 (b)b2)(ii)(c) Information collection
42 CFR 494.30 (a)(1)(ii) Information collection
42 CFR 488.60 Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202504-0938-015 Reinstatement with change of a previously approved collection 2025-05-15
202008-0938-010 Reinstatement without change of a previously approved collection 2020-08-14
201612-0938-014 Revision of a currently approved collection 2016-12-16 Approved with change
201311-0938-025 Reinstatement with change of a previously approved collection 2013-11-20 Approved without change
200701-0938-010 Extension without change of a currently approved collection 2007-01-12 Approved without change
200304-0938-008 Extension without change of a currently approved collection 2003-04-18 Approved without change
200102-0938-007 Reinstatement without change of a previously approved collection 2001-02-13 Approved without change
199711-0938-005 Extension without change of a currently approved collection 1997-11-25 Approved without change
199410-0938-008 Revision of a currently approved collection 1994-10-12 Approved without change
199109-0938-002 Reinstatement with change of a previously approved collection 1991-09-25 Approved without change
198805-0938-007 Revision of a currently approved collection 1988-05-11 Approved without change
198702-0938-009 Revision of a currently approved collection 1987-02-17 Approved without change
198601-0938-004 Reinstatement with change of a previously approved collection 1986-01-29 Approved without change
198408-0938-017 New collection (Request for a new OMB Control Number) 1984-08-28 Approved without change

OMB Details

42 CFR 488.60

Federal Enterprise Architecture: Health - Health Care Services