Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
DME Suppliers Key Informant Interview Modified 100 50 0 Form and Instruction CMS-10633
DME Suppliers Web-Based Survey Modified 2544 425 0 Form and Instruction CMS-10633
Form CMS-10633
Part A Providers Key Informant New 100 50 0 Form and Instruction CMS-10633
Part A Providers Web-Based Survey New 2544 425 0 Form and Instruction CMS-10633
Form CMS-10633
Total burden requested under this ICR: 5288 950 0  
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