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OMB Control No: 0938-1293	ICR Reference No: 202509-0938-002
Status: Received in OIRA	Previous ICR Reference No: 202202-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No: CPI
Title: Medicare Program: Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) (CMS-10524)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/03/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	262,589	0
Time Burden (Hours)	131,294	0
Cost Burden (Dollars)	4,627,207	0

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	262,589	-10,716	273,305
Annual Time Burden (Hours)	131,294	-5,358	136,652
Annual Cost Burden (Dollars)	4,627,207	-188,832	4,816,039

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The decrease in burden is due to a reduction in utilization.

Annual Cost to Federal Government: $17,068,275

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Malcolm Wilson 667 414-0087 malcolm.wilson@cms.hhs.gov