Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Program: Conditions of Payment of Power Mobility Devices, Including Power Wheelchairs and Power-Operated Vehicles (CMS-3017-IFC) Migrated 37400 37400 0 Form CMS-10116
Total burden requested under this ICR: 37400 37400 0  
To view an IC, click on IC Title