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  
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