Medicare and Medicaid Programs: Conditions of Participation for Portable X-ray Suppliers (CMS-R-43)

ICR 202110-0938-003

OMB: 0938-0338

Federal Form Document

Forms and Documents
Supporting Statement A
ICR Details
0938-0338 202110-0938-003
Received in OIRA 201807-0938-004
HHS/CMS 20136
Medicare and Medicaid Programs: Conditions of Participation for Portable X-ray Suppliers (CMS-R-43)
Revision of a currently approved collection   No
Regular 10/12/2021
  Requested Previously Approved
36 Months From Approved 12/31/2021
1,012 1,527
324 532,959
0 0

The information is required to certify portable X-ray suppliers wishing to participate in the Medicare program. The information collection is needed to determine if portable X-ray suppliers are in compliance with published health and safety requirements. This is standard medical practice and is necessary in order to ensure the well-being and safety of patients and professional treatment accountability.


Not associated with rulemaking

  86 FR 38485 07/21/2021
86 FR 54980 10/05/2021

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,012 1,527 0 -509 -6 0
Annual Time Burden (Hours) 324 532,959 0 -532,633 -2 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Miscellaneous Actions
During prior rulemaking for burden reduction initiatives (84 FR 51732), CMS revised the requirements for portable X-ray orders removing the requirement at 42 CFR 486.106(a) that orders for portable X-ray services be written and signed. Additionally, we also replaced the specific requirements related to the content of each portable X-ray order with a cross-reference to the payment requirements at 42 CFR 410.32, which also apply to portable X-ray services. These changes simplified the ordering process for portable X-rays and promotes the use of more efficient ordering methods, such as electronic orders resulting in a significant change of burden. This has resulted in a reduction of 532,633 burden hours and $27,650,289 (see 84 FR 51765).

Denise King 410 786-1013 [email protected]


On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

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