View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0971	ICR Reference No: 200709-0938-004
Status: Historical Active	Previous ICR Reference No: 200605-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Program: Conditions of Payment of Power Mobility Devices, Including Power Wheelchairs and Power-Operated Vehicles (CMS-3017-IFC)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/12/2008
	Date Received in OIRA: 09/24/2007
Terms of Clearance: This collection is approved for 1 year. Upon resubmission, CMS will provide industry guidance related to the provisions associated with this collection. CMS will consult with OMB prior to issuance of the guidance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2009	36 Months From Approved	06/30/2008
Responses	486,000	0	37,400
Time Burden (Hours)	48,600	0	37,400
Cost Burden (Dollars)	0	0	0

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