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Durable Medical Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey

IC 8634 under ICR 200104-0938-011 · OMB 0938-0834.

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Information Collection (IC) Details

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Durable Medical Equipment and Prosthetics, Orthotics, and Supplies (DMEPOS) Supplier Survey
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-10019 No No


    

340 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 340 0 340 0 0 0
Annual IC Time Burden (Hours) 620 0 620 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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