View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-1016	ICR Reference No: 201701-0938-004
Status: Historical Inactive	Previous ICR Reference No: 201508-0938-005
Agency/Subagency: HHS/CMS	Agency Tracking No: CMS-10169
Title: Requests for Bids (RFB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 02/09/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/08/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	05/07/2018
Responses	36,997	0	36,997
Time Burden (Hours)	234,194	0	234,194
Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We have made no changes to Form D however, the estimated number of respondents and per response burden has been adjusted to reflect program changes. During Round 2 Recompete we eliminated multi-state CBAs so that each CBA would exist within a single state. This was added as a program improvement for suppliers in meeting State licensure requirements. This change increased the number of CBAs from 9 to 13 in the Round 1 areas and from 100 to 117 in the Round 2 areas for a total of 140 CBAs for Round 2019. We note that we have made an adjustment to the burden estimates for the national mail-order recompete from the previous ICR. Since the beneficiary population for the competition is nationwide, a larger sample size is indicated to produce a more representative sample for this competition. Given these changes, the annual burden for Form D has increased and is projected to be 21,200 responses and 10,600 hours. We have made no changes to the contract supplier’s disclosure of subcontractors form however, the estimated number of respondents and per response burden has been adjusted to account for Round 2019. The annual burden for the Subcontractor Disclosure Form for all rounds of competition is 516 responses and 165 hours. We have made no changes to the CHOW forms; however, the estimated number of respondents and per response burden has been adjusted to account for Round 2019. The annual burden for the CHOW Forms for all rounds of competition is 92 responses and 169 hours.