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Medicare Clinical Laboratory Services Competitive Bidding Demonstration Project : Bidding Form

IC 45033 under ICR 200608-0938-004 · OMB 0938-1008.

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Instruction
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Medicare Clinical Laboratory Services Competitive Bidding Demonstration Project : Bidding Form
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS 10193 LAB Competitive Bidding Application Instructions (without Track Changes) 07 06 06 --lebovic 7-12-06.doc Yes Yes Fillable Printable
Form CMS-10193 THE MEDICARE CLINICAL LABORATORY COMPETITIVE BIDDIN CMS 10193 LAB Application Form (without Track Changes) 07 06 06 -- jk edits 7-13-06.doc Yes Yes Fillable Printable

Health Health Care Services

 

10 0
   
Private Sector Businesses or other for-profits
 
   95 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 10 10 0 0 0 0
Annual IC Time Burden (Hours) 10 10 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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