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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 ยท 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 can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
All Historical Document Collections
 Reinstatement with change of a previously approved collection 2025-05-15
Reinstatement without change of a previously approved collection 2020-08-14
Approved with change
 Revision of a currently approved collection 2016-12-16
Approved without change
 Reinstatement with change of a previously approved collection 2013-11-20
Approved without change
 Extension without change of a currently approved collection 2007-01-12
Approved without change
 Extension without change of a currently approved collection 2003-04-18
Approved without change
 Reinstatement without change of a previously approved collection 2001-02-13
Approved without change
 Extension without change of a currently approved collection 1997-11-25
Approved without change
 Revision of a currently approved collection 1994-10-12
Approved without change
 Reinstatement with change of a previously approved collection 1991-09-25
Approved without change
 Revision of a currently approved collection 1988-05-11
Approved without change
 Revision of a currently approved collection 1987-02-17
Approved without change
 Reinstatement with change of a previously approved collection 1986-01-29
Approved without change
 New collection (Request for a new OMB Control Number) 1984-08-28
OMB Details

42 CFR 488.60

Federal Enterprise Architecture: Health - Health Care Services