Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Bidding Form (Form B) Modified 1000 1200 0 Form and Instruction CMS-10169
Form and Instruction Form B
Form and Instruction Form B
Form and Instruction Form B
Form and Instruction Form B
Form and Instruction Form B
Form A: Application for DMEPOS Competitve Bidding Program Modified 500 1550 0 Form and Instruction Form A
Form and Instruction Form A
Total burden requested under this ICR: 1500 2750 0  
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