OMB control number
Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program – Contracting Forms (CMS-10744)
OMB 0938-1408 · HHS/CMS.
OMB 0938-1408
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10744 CMS-10744.Change of Ownership Form (30-day notice) (document unavailable) | Form and Instruction |
 Form CMS-10744.Change o Change of Ownership | Form and Instruction |
| Form CMS-10744 Subcontracting Disclosure (document unavailable) | Form and Instruction |
| Form CMS-10744 Subcontracting | Form and Instruction |
| Form CMS-10744 Form C: Semi Annual Report (document unavailable) | Form and Instruction |
| Form CMS-10744. Form C Form C | Form and Instruction |
 CMS-10744.Function Fields Updated.xlsx | Supplementary Document |
 CMS-10744.SupportingStatementPartA (final).docx | Supporting Statement A |
 Grandfathering |
Instruction |
| Change of Ownership |
Form and Instruction |
| Change of Ownership |
Form and Instruction |
| Subcontracting |
Form and Instruction |
| Subcontracting |
Form and Instruction |
| Form C |
Form and Instruction |
| Form C |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202011-0938-001 | New collection (Request for a new OMB Control Number) | 2020-11-05 | Approved with change |