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Form A Screenshot 4
508_DBidS Form A Screenshot 4.pdf
Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
Form A Screenshot 4
OMB: 0938-1016
OMB.report
HHS/CMS
OMB 0938-1016
ICR 201508-0938-005
IC 212256
Form A Screenshot 4
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1016 can be found here:
2018-12-06 - Reinstatement with change of a previously approved collection
2018-07-26 - Reinstatement with change of a previously approved collection
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DBidS Form A Screenshot 4
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application/pdf
File Modified
2014-07-02
File Created
2014-07-02
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