Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Change of Enrollment Information
Modified
17100
8550
0
Form and Instruction
CMS-855(S)
Medicare Durable Medical Equipment Supplier Enrollment Application
Form and Instruction
CMS-855S
Medicare Durable Medical Equipment Supplier Enrollment Application
Form and Instruction
CMS-855-S
Medicare Enrollment Application: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers
Initial Enrollment
Modified
8750
35000
0
Form and Instruction
CMS-855S
Medicare Durable Medical Equipment Supplier Enrollment Application
Form and Instruction
CMS-855-S
Medicare Enrollment Application: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers
Revalidation of enrollment information
Modified
17500
70000
0
Form and Instruction
CMS-855S
Medicare Durable Medical Equipment Supplier Enrollment Application
Form and Instruction
CMS-855-S
Medicare Enrollment Application: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers
Surety Bond Compliance
Removed
0
0
0
Form and Instruction
CMS-855(S)
Medicare Durable Medical Equipment Supplier Enrollment Application
Total burden requested under this ICR:
43350
113550
0
To view an IC, click on IC Title