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 EGWP Modified 455 11890 0 Form and Instruction CMS-10137 PACE
Form and Instruction CMS-10137 COST
Form and Instruction CMS-10137 MAPD
Form and Instruction CMS-10137 PDP
Form and Instruction CMS-10137 SAE
Other-redline
Other-redline
Other-redline
Other-redline
Other-redline
Form and Instruction CMS-10137 Employer Union MAPD
Form and Instruction CMS-10137 Employer Union PDP
Form and Instruction CMS-10137 EGWP COST
Form and Instruction CMS-10137 EGWP PDP
Other-redline
Other-redline
Other-redline
Other-redline
Total burden requested under this ICR: 455 11890 0  
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