Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Business Continuity Plans under 422.504(o) and 423.505(p) Modified 99 15920 0
Medicare Prescription Drug Benefit Program (Benes) Modified 9869100 2847975 0
Medicare Prescription Drug Benefit Program (PLAN) Modified 79544700 5807772 0 Form CMS-10141 Compensation Certification
Instruction
Form CMS-10141 Description of Compensation Structure
Form CMS-10141 Covered Agent Information Sheets Workbook
Form CMS-10141 Compensation Structure for Writing Agents by Contract/PBP Number
State Eligibility Determinations (423.904(b)) and Reporting (423.910(d)) Modified 600102 13260 0
Total burden requested under this ICR: 90014001 8684927 0  
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