PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Medicare Advantage and Prescription Drug Benefit Program: Final Marketing Provisions referenced in 42 CFR 422.111(a)(3) and 423.128(a)(3)
Modified
740
8880
0
Form and Instruction
CMS-10260-MAOP
Annual Notice of Change & Evidence of Coverage for Medicare Advantage Only Plans
Form and Instruction
CMS-10260-CP
Annual Notice of Change & Evidence of Coverage for Cost Plans
Form and Instruction
CMS-10260- MAPDP
Annual Notice of Change & Evidence of Coverage for Medicare Advantage Prescription Drug Plans
Form and Instruction
CMS-10260-PDP's
Annual Notice of Change & Evidence of Coverage for Prescription Drug Plans
Form and Instruction
CMS-10260-
Annual Notice of Change & Evidence of Coverage for Provider Fee‐for‐Service Plans
Form and Instruction
CMS-10260-PPO
Annual Notice of Change & Evidence of Coverage for Preferred Provider Organizations
Total burden requested under this ICR:
740
8880
0
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