Information Collection

2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16

IC 221864 under ICR 201412-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 976 2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16	Form and Instruction
976 2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16 2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16.xlsx	Form and Instruction

IC Title:

2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16

Agency IC Tracking Number:

976

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	976	2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16	2015 976 CMS-CGS DME MAC B Questionnaire 6.9.16.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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