Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program New 8000 2000 0 Form and Instruction CMS-10169 CMS-10169 Form D
Form and Instruction CMS-10169 CMS-10169 Form D
Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program New 15973 1086164 0 Form CMS-10169 CMS-10169 Form A
Form CMS-10169 CMS-10169 Form B
Form CMS-10169 CMS-10169 Form C
Instruction
Form CMS-10169 CMS-10169 Form A
Form CMS-10169 CMS-10169 Form A- Screenshots
Form CMS-10169 CMS 10169 Form B
Form CMS-10169 Form B CMS-10169 Form B- Tab Screens
Form CMS-10169 Form B CMS-10169 Form B-Screen shot
Form CMS-10169 CMS-10169
Instruction
Form CMS-10169 Form A CMS-10169 Form A Wizard Screens
Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program New 15973 2662 0 Form CMS-10169 CMS-10169
Total burden requested under this ICR: 39946 1090826 0  
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