Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Prescription Drug Benefit Program (PLAN)-(CMS-10141) Modified 2163672 1027952 0 Other-Compensation Certification
Instruction
Other-Compensation Structure Submission Form
Medicare Prescription Drug Benefit Program (Benes) Modified 35989092 33702724 0
Medicare Prescription Drug Benefit Program (Plan) Removed 0 0 0 Other-Agent Compensation Information
Other-Covered Agent Information
Other-Certification
Other-Structure Submission
Instruction
Total burden requested under this ICR: 38152764 34730676 0  
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