Durable Medical Equipment (DME).

OMB 0420-0559

Latest Forms, Documents, and Supporting Material

Document Name
Form PC-262-3 Durable Medical Equipment and Other Devices form Form and Instruction
Justification for revised DME_Final 1_25_16.docx Supplementary Document
DME Form - OMB changes.docx Supplementary Document
DME Supporting Statement_final.docx Supporting Statement A
Durable Medical Equipment and Other Devices form Form and Instruction

All Historical Document Collections

202011-0420-005	Reinstatement without change of a previously approved collection	2020-11-17
201610-0420-002 Approved with change	New collection (Request for a new OMB Control Number)	2016-11-18