Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Prescription Drug Benefit Program (PLAN)-(CMS-10141) Modified 5289179 1879877 0 Other-Compensation Certification
Instruction
Other-Compensation Structure Submission Form
Medicare Prescription Drug Benefit Program (Benes) Modified 35989092 33702724 0
Total burden requested under this ICR: 41278271 35582601 0  
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