CMS-10169 Form B CMS-10169 Form B-Screen shot

Supporting Statement For Paperwork Reduction Act Submissions - Request for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program and Suppo

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1016 can be found here:

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