Durable Medical Equipment Regional Carrier, Certificates of Medical Necessity

Durable Medical Equipment Regional Carrier, Certificates of Medical Necessity

OMB: 0938-0679

IC ID: 37897

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Durable Medical Equipment Regional Carrier, Certificates of Medical Necessity
 
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 846-849 Yes Yes
Form 10126 Yes Yes
Form 854 Yes Yes
Form 10125 Yes Yes


    

51,000 0
   
Private Sector Businesses or other for-profits
 
   90 %

  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 5,400,000 0 0 0 0 5,400,000
Annual IC Time Burden (Hours) 1,080,000 0 -135,000 0 0 1,215,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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