CMS-10169.Justification of nonmaterial change

May 10, 2010

DESCRIPTION OF TECHNICAL CHANGES TO OMB CONTROL #0938-1016

The Centers for Medicare & Medicaid Services (CMS) identified a small number of technical changes to the approved Form D of the Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program information collection (OMB # 0938-1016). These technical changes are necessary to fix grammatical errors or improve the clarity and accuracy of the information collection; the changes have no impact on public burden or any other aspect of the collection.

The following chart describes the changes and the rationale for making them.

Issue #	Page #	Section	Action to be Performed	Changes to the Application	Reason for the Change
	1	Throughout form	Remove “contract” throughout form	See change in Actions to be Performed column	Removed to improve accuracy/ clarity of information collection. The form applies to equipment furnished by both contract suppliers and noncontract suppliers, so referring only to contract suppliers was inaccurate and potentially confusing.
	1	Questions 1 and 2	Change “purchased” to “received”	See change in Actions to be Performed column	Changed to improve accuracy/clarity of information collection. DME items can be purchased or rented; “received” is generic yet precise.
	1	Question 1	Insert “from which” after “supplier” and delete “from” at the end of the question	See change in Actions to be Performed column	Changed to fix dangling preposition.
	1	Question 4	Change “use” to “quality”	See change in Actions to be Performed column	Changed to make question more precise/accurate. We are interested in beneficiaries’ views of the overall quality of their equipment, not just the use of the equipment. (Note: the American Association for Homecare recommended this change in comments to OMB provided to CMS after OMB approved the information collection.)