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Agenda
Reg Review
ICR
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
To view an IC, click on IC Title