The CAP Vendor Application and Bid
Form is a collection tool which will be used by potential vendors
to provide information related to the characteristics of their
company and to submit their bid prices for CAP drugs. The
information collected on the CAP Vendor Application and Bid Form
will be used by CMS during the bidding evaluaton process to
evaluate the vendors bid prices, their credentials, experience and
to assess their ability to provide quality service to physicians
and beneficiaries.
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.