Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111 New 42098 3368 0 Form CMS-R-0282
Instruction
Other-Other
Medicare Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111 Modified 868 868 0 Instruction
Other-Other
Form CMS-R-0282
Total burden requested under this ICR: 42966 4236 0  
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