On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57

On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57

OMB: 0938-0749

IC ID: 8454

Information Collection (IC) Details

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On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57
 
No Modified
 
Mandatory
 
42 CFR 424.57

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-R-263 CMS-R-263 DMEPOS Site Visit Form CMS-R-263.Site Visit Information Collection Form.doc No No Paper Only

Health Health Care Services

 

30,000 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 30,000 0 10,000 0 20,000 0
Annual IC Time Burden (Hours) 15,000 0 5,000 0 10,000 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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