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On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57

IC 8454 under ICR 202408-0938-034 · OMB 0938-0749.

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Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
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On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57
 
No Modified
 
Mandatory
 
42 CFR 424.57

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-R-263 DMEPOS Site Visit Form CMS-R-263-072524.pdf No   Paper Only

Health Health Care Services

 

16,029 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Requested 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 16,029 0 0 7,774 8,255 0
Annual IC Time Burden (Hours) 16,029 0 0 7,774 8,255 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supplier Standards Medicare DMEPOS suppliers CMS-R-263 - Appendix A - Site Investigation (DMEPOS).docx 11/13/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.