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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Medicare Prescription Drug Benefit Program (PLAN)-(CMS-10141)
Modified
35484743
4661013
0
Other-Compensation Certification
Instruction
Other-Compensation Structure Submission Form
Form
CMS-10141
Writing Agents Information Sheet
Form
CMS-10141
Compensation Structure for Writing Agents by Contract/PBP Number
Medicare Prescription Drug Benefit Program (Benes)
Modified
10015000
2897950
0
State Eligibility Determinations [423.904(b)] and Reporting [423.910(d)]
New
600102
13260
0
Total burden requested under this ICR:
46099845
7572223
0
To view an IC, click on IC Title
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