Medicare Program: Conditions of Payment of Power Mobility Devices, Including Power Wheelchairs and Power-Operated Vehicles

(CMS-10116) Medicare Program: Conditions of Payment of Power Mobility Devices, Including Power Wheelchairs and Power-Operated Vehicles

OMB: 0938-0971

IC ID: 182114

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Medicare Program: Conditions of Payment of Power Mobility Devices, Including Power Wheelchairs and Power-Operated Vehicles
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 410.38(c)(2)(iii)

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

Health Health Care Services

 

46,000 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 72,500 0 -101,310 0 0 173,810
Annual IC Time Burden (Hours) 16,917 0 -17,845 0 0 34,762
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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