Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Applications for Medicare Part D Plans; PDP Plans, MA-PD Plans, Cost Plans, PACE Organizations, SAE and EPOG Modified 216 5316 0 Form and Instruction CMS-10137 Application for New PDP
Form and Instruction CMS-10137 SAE Application
Form and Instruction CMS-10137 Application for New Cost Plan
Form and Instruction CMS-10137 EPOG Application for EPOG
Form and Instruction CMS-10137 Application for New Employer
Form and Instruction CMS-10137 Application for New MA-PD
Form and Instruction CMS-10137 EPOG Application for New EPOG PDP
Form and Instruction CMS-10137 EPOG Application for Existing PDP
Form and Instruction CMS-10137 EPOG Application for EPOG Cost Plans
Form and Instruction CMS-10137 SAE Application
Form and Instruction CMS-10137 Application for New PDP
Form and Instruction CMS-10137 Application for New MA-PD
Form and Instruction CMS-10137 Application for New Cost Plan
Total burden requested under this ICR: 216 5316 0  
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