PRA IC List
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Agenda
Reg Review
ICR
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 (Form D)
Modified
3200
800
0
Form and Instruction
CMS-10169
Form D - Survey
Form
CMS-10169
REVISED Form D - Survey
Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (Forms A, B, C)
Modified
6500
442000
0
Form and Instruction
CMS-10169
Form A - APPLICATION FOR DMEPOS COMPETITIVE BIDDING PROGRAM
Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (Subcontracting)
Modified
400
600
0
Total burden requested under this ICR:
10100
443400
0
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