Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (Forms A, B, C)

Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program

OMB: 0938-1016

IC ID: 46761

Information Collection (IC) Details

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Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (Forms A, B, C)
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 414.410

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10169 Form A - APPLICATION FOR DMEPOS COMPETITIVE BIDDING PROGRAM 13_RFB Form A (CMS-10169A) 5-11-09.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

6,500 3,000
   
Private Sector Businesses or other for-profits
 
   100 %

  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 6,500 0 0 0 0 6,500
Annual IC Time Burden (Hours) 442,000 0 0 0 0 442,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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