Bid (Certification) screenshot
Form B-5.jpg
Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
Bid (Certification) screenshot
OMB: 0938-1016
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1016 can be found here:
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