Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Form A: Application for DMEPOS Competitve Bidding Program	Modified	1833	1633	0	Form and Instruction	Form A	Application for DMEPOS Competitve Bidding Program
Form B: Bidding Form	Modified	37833	42834	0	Form and Instruction	Form B	Bid Sheet
					Form and Instruction	Form B	Certification
					Form and Instruction	Form B	Create Bid
					Form and Instruction	Form B	Manufacturer
					Form and Instruction	Form B	Manufacturer, Model Name, and Number
Total burden requested under this ICR:		39666	44467	0
To view an IC, click on IC Title