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The document outlines burden hour estimates by respondent type and describes three collection requests, including a new CMS-855O application for ordering and referring physicians, and revisions to the CMS-855S DMEPOS supplier enrollment application to simplify and clarify data collection while incorporating updated regulatory requirements. It also lists form numbers, OMB control references, frequencies, affected publics, respondent counts, and annual hours, and invites comments on necessity, accuracy, clarity, and reduced burden through automated techniques.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/medicare-enrollment-application-submission-for-omb-review-comment-request/305255/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/medicare-enrollment-application-submission-for-omb-review-comment-request/305255.png","ImageObject",442,249,{"name":88,"@type":89},"Franzy","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-14","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of this OMB review submission notice?","Question",{"text":109,"@type":110},"It provides a public summary of proposed Medicare information collections, including burden estimates, and requests comments on the necessity, accuracy, clarity, and methods to reduce reporting burden.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What does the CMS-855O Medicare Enrollment Application enable?",{"text":114,"@type":110},"It allows ordering and referring physicians to obtain a Medicare identification number for ordering and referring beneficiaries without being approved for billing privileges.",{"name":116,"@type":107,"acceptedAnswer":117},"How has CMS-855S DMEPOS supplier enrollment been revised?",{"text":118,"@type":110},"CMS revised CMS-855S to simplify and clarify information collection and to incorporate new regulatory provisions, including quality standards and accreditation-related requirements.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},305255,1790208170,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},2336478945519,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","ESTIMATED ANNUALIZED BURDEN HOURS  \n\n| Type of\u003Cbr>respondent | Number of\u003Cbr>respondents | Number of\u003Cbr>responses per\u003Cbr>respondent | Average burden\u003Cbr>per response\u003Cbr>(in hours) | Total burden\u003Cbr>hours |\n| --- | --- | --- | --- | --- |\n| Police & Sheriff’s Patrol Officers ..................................................... First-Line Supervisors/Managers of Police & Detectives ................ | 2,467 | 1 | 20/60 | 822 |\n|  | 162 | 1 | 1 | 162 |\n\nDated: May 16, 2011.  \nDaniel Holcomb,  \nActing Reports Clearance Officer, Centers for Disease Control and Prevention.  \n[FR Doc. 2011–12467 Filed 5–19–11; 8:45 am]  \nBILLING CODE 4163–18–P  \nDEPARTMENT OF HEALTH AND HUMAN SERVICES  \nCenters for Medicare & Medicaid Services  \n[Document Identifier: CMS–855(O), CMS– 855(S) and CMS–855(A, B, I, R)]  \nAgency Information Collection Activities: Submission for OMB Review; Comment Request  \nAGENCY: Centers for Medicare & Medicaid Services, HHS  \nIn compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services, is publishing the following summary of proposed collections for public comment. Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the Agency’s function;  \n(2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information tobe collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden.  \n1. Type of Information Collection Request: New collection; Title of Information Collection: Medicare Enrollment Application for Eligible Ordering and Referring Physicians and Non-physician Practices Use: CMS is adding a new CMS–855 Medicare Enrollment Application (CMS 855O—Medicare Enrollment Application for Ordering and Referring Physicians only) . CMS has found that many providers and suppliers who are not enrolled in Medicare are ordering and  \nreferring physicians for Medicare enrolled providers and suppliers. The ordering and referring data field on the CMS 1500 claims submission form requires an ordering or referring physician to have a Medicare identification number. Without an ordering or referring physician, specific types of claims submitted by Medicare approved providers and suppliers are rejected by Medicare Administrative Contractors (MAC) as required by Medicare regulation. Therefore, if an ordering or referring physician does not participate in the Medicare program, but orders or refers his/her patients to a Medicare provider or supplier, the claim submitted by the Medicare provider or supplier for the given ordered or referred service is automatically rejected by the MAC. The CMS 855O allows a physician to receive a Medicare identification number (without being approved for billing privileges) for the sole purpose of ordering and referring beneficiaries to Medicare approved providers and suppliers. This new Medicare application form allows physicians who do not provide services to Medicare beneficiaries to be given a Medicare identification number without having to supply all the data required for the submission of Medicare claims. It also allows the Medicare program to identify ordering and referring physicians without having to validate the amount of data necessary to determine claims payment eligibility (such as banking information), while continuing to identify the physician’s credentials as valid for ordering and referring purposes. Form Number:  \nCMS–855(O) (OMB\\#: 0938–NEW0685); Frequency: Yearly; Affected Public: Private Sector; Business or other forprofit and not-for-profit institutions; Number of Respondents: 48,000; Total  \nAnnual Responses: 48,","cbCaij92FTrTMZb0","https://ap.wps.com/l/cbCaij92FTrTMZb0","pdf",149921,"English","# Estimated Annualized Burden Hours\n# Agency Information Collection Activities\n## Comment Request and Burden Estimate\n## Medicare Enrollment Application for Ordering and Referring Physicians (CMS-855O)\n## Medicare Durable Medical Equipment Supplier Enrollment (CMS-855S DMEPOS)","[{\"question\":\"What is the purpose of this OMB review submission notice?\",\"answer\":\"It provides a public summary of proposed Medicare information collections, including burden estimates, and requests comments on the necessity, accuracy, clarity, and methods to reduce reporting burden.\"},{\"question\":\"What does the CMS-855O Medicare Enrollment Application enable?\",\"answer\":\"It allows ordering and referring physicians to obtain a Medicare identification number for ordering and referring beneficiaries without being approved for billing privileges.\"},{\"question\":\"How has CMS-855S DMEPOS supplier enrollment been revised?\",\"answer\":\"CMS revised CMS-855S to simplify and clarify information collection and to incorporate new regulatory provisions, including quality standards and accreditation-related requirements.\"}]","Medicare Enrollment Application - Submission for OMB Review; Comment Request | PDF",1789823135]