View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program; Bidding Form (Form B)
 
No Removed
 
Mandatory
 
42 CFR 414.410

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10169 Yes Yes Fillable Fileable

Health Health Care Services

 

1,011 708
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -337 0 0 337
Annual IC Time Burden (Hours) 0 0 -24,264 0 0 24,264
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Furnished Items screenshot 07/25/2012
Expansion screenshot 07/25/2012
Bid Select screenshot 07/25/2012
Manufacturer screenshot 07/25/2012
Bid (Certification) screenshot 07/25/2012
Public Address Announcement screenshot 07/25/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.