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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
CY 2012-Applications for Medicare Part D Plans; PDP Plans, MA-PD Plans, Cost Plans, PACE Organizations, SAE and EGWP
Modified
178
2322
0
Form and Instruction
CMS-10137
Application_for_New_PACE_Plan
Form and Instruction
CMS-10137
2013 Application for New Cost Plan
Form and Instruction
CMS-10137
2013 Application for New Prescription Drug Plan (PDP)
Form and Instruction
CMS-10137
2013 Application for PDP and MA-PD Service Area Expansion
Form and Instruction
CMS-10137
2013 New Medicare Advantage Prescription Drug Plan (MA-PD
Total burden requested under this ICR:
178
2322
0
To view an IC, click on IC Title