Durable Medical Equipment (DME).

ICR 202408-0420-003

OMB: 0420-0559

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Justification for No Material/Nonsubstantive Change
2024-08-23
Supplementary Document
2024-08-23
Supporting Statement A
2024-08-23
IC Document Collections
ICR Details
0420-0559 202408-0420-003
Received in OIRA 201610-0420-002
PEACE
Durable Medical Equipment (DME).
Reinstatement without change of a previously approved collection   Yes
Regular 08/23/2024
  Requested Previously Approved
36 Months From Approved
400 0
100 0
0 0

Durable Medical Equipment (DME) is any equipment that provides therapeutic benefits to a patient in need because of certain medical conditions and/or illness. They consist of items that are primarily and customarily used to serve a medical purpose; are not useful to a person in the absence of illness or injury; are ordered or prescribed by a physician; are reusable; can stand repeated use, and are appropriate for use in the home. Other devices covered in this guidance include prosthetic equipment (cardiac pacemakers), hearing aids, orthotic items (artificial devices such as braces and splints), and prostheses (artificial body parts). The information collected will assist in the determination of Peace Corps eligibility. If eligible, it will assist with ongoing care during service. All applicants to the Peace Corps must have a medical clearance that will determine their ability to serve in a particular country.

US Code: 22 USC 2501 et seq Name of Law: Peace Corps Act
  
None

Not associated with rulemaking

  89 FR 51914 06/20/2024
89 FR 68214 08/23/2024
No

1
IC Title Form No. Form Name
Durable Medical Equipment and Other Devices form PC-262-3 Durable Medical Equipment Form

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 400 0 0 0 0 400
Annual Time Burden (Hours) 100 0 0 0 0 100
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,533
No
    Yes
    Yes
No
No
No
No
Jay Olin 202 692-2507 jolin@peacecorps.gov

  Yes
 
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/23/2024


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