Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Durable Medical Equipment Medicare Administrative Contractors (MAC) Regional Carrier, Certificate of Medical Necessity and Supporting Documentation Modified 462000 92400 0 Form and Instruction CMS-854
Form and Instruction CMS-846
Form and Instruction CMS-847
Form and Instruction CMS-848
Form and Instruction CMS-849
Form and Instruction CMS-10125
Form and Instruction CMS-10126
Oxygen and Supplies New 1632000 326400 0 Form and Instruction CMS-484
Total burden requested under this ICR: 2094000 418800 0  
To view an IC, click on IC Title