Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Applications for Medicare Part D Plans; PDP Plans, MA-PD Plans, Cost Plans, PACE Organizations, SAE and EPOG Modified 857 28122 0 Form and Instruction CMS-10137 Application New Dug Plans
Form and Instruction CMS-10137 App New Cost Plans
Form and Instruction CMS-10137 EPOG Direct Contract Plans
Form and Instruction CMS-10137 MA Plans
Form and Instruction CMS-10137 SAE Applications
Form CMS--10137 EPOG Direct MAPD Plans
Instruction
Instruction
Total burden requested under this ICR: 857 28122 0  
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