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) Modified 243000 8100 0
Medicare Program: Conditions of Payment of Power Mobility Devices, Including Power Wheelchairs and Power-Operated Vehicles (CMS-3017-IFC) New 243000 40500 0
Total burden requested under this ICR: 486000 48600 0  
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