OMB control number
Durable Medical Equipment (DME).
OMB 0420-0559 ยท PEACE.
OMB 0420-0559
Durable Medical Equipment (DME) is any equipment that provides therapeutic benefits to a patient in need because of certain medical conditions and/or illness. They consist of items that are primarily and customarily used to serve a medical purpose; are not useful to a person in the absence of illness or injury; are ordered or prescribed by a physician; are reusable; can stand repeated use, and are appropriate for use in the home. Other devices covered in this guidance include prosthetic equipment (cardiac pacemakers), hearing aids, orthotic items (artificial devices such as braces and splints), and prostheses (artificial body parts). The information collected will assist in the determination of Peace Corps eligibility. If eligible, it will assist with ongoing care during service. All applicants to the Peace Corps must have a medical clearance that will determine their ability to serve in a particular country.
The latest form for Durable Medical Equipment (DME). expires 2027-10-31 and is listed under ICR 202408-0420-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form PC-262-3 Durable Medical Equipment and Other Devices form | Form and Instruction |
| Durable_Medical_Equipment_Justification.docx | Justification for No Material/Nonsubstantive Change |
 PC-17.pdf | Supplementary Document |
| Supporting Statement 0420-0559 Durable Medical Equipment.docx | Supporting Statement A |
 Durable Medical Equipment and Other Devices form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202408-0420-003 | Reinstatement without change of a previously approved collection | 2024-08-23 | ||
| 202011-0420-005 | Reinstatement without change of a previously approved collection | 2020-11-17 | ||
| 201610-0420-002 | New collection (Request for a new OMB Control Number) | 2016-11-18 | Approved with change |