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Information Collection

Information Collection Requirements Referenced in 42 CFR Sec. 424.57; Additional DMEPOS Supplier Standards

IC 8371 under ICR 200407-0938-007 · OMB 0938-0717.

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Information Collection (IC) Details

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Information Collection Requirements Referenced in 42 CFR Sec. 424.57; Additional DMEPOS Supplier Standards
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-R-215 No No


    

63,986 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 35,000 0 0 0 0 35,000
Annual IC Time Burden (Hours) 280,000 0 0 0 0 280,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.