OMB control number

Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration (CMS-10471)

OMB 0938-1235 · HHS/CMS.

OMB 0938-1235

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10471 REVISED - Supporting Statement Part A 2017 Final.docx Supporting Statement A
CMS-10471 Appendix A.docx Supplementary Document
State and Local governments Instruction
Practitioners, PMD Suppliers, and Advocates Instruction

All Historical Document Collections

201705-0938-012 Approved without change	Reinstatement with change of a previously approved collection	2017-08-07
201407-0938-014 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-07-24
201310-0938-007 Approved without change	New collection (Request for a new OMB Control Number)	2013-10-25