OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Medicare Part B Drug and Biological Competitive Acquisition Program Applications

IC 43673 under ICR 200712-0938-003 · OMB 0938-0955.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Redline
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Medicare Part B Drug and Biological Competitive Acquisition Program Applications
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10133 Medicare Competitive Acquisition Program cap.osora.cms10133.revised.2009 Vendor ApplicationFNL.doc No No Paper Only
Other-Redline cap.osora.cms10133.redline.2009 Vendor ApplicationFNL.doc Yes Yes Paper Only

Health Health Care Services

 

12 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 12 0 0 0 0 12
Annual IC Time Burden (Hours) 480 0 0 0 0 480
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.