Practitioners, PMD Suppliers, and Advocates

Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration

OMB: 0938-1235

IC ID: 209055

Information Collection (IC) Details

View Information Collection (IC)

Practitioners, PMD Suppliers, and Advocates
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-10471.Background Research Discussion Guide.docx Yes No Fillable Fileable
Form and Instruction CMS-10471 PMD Stakeholders Screening and Scheduling Guide CMS-10471.PMD Stakeholders Screening and Scheduling Guide .docx Yes No Fillable Fileable

Health Health Care Services

 

254 96
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 254 254 0 0 0 0
Annual IC Time Burden (Hours) 288 288 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10471 CMS-10471.Qualitative Research Protocols - Advocates.docx 10/23/2013
CMS-10471 CMS-10471.Qualitive Research Protocols-Practitioners.docx 10/23/2013
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