Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CY 2012-Applications for Medicare Part D Plans; PDP Plans, MA-PD Plans, Cost Plans, PACE Organizations, SAE and EGWP Modified 295 3576 0 Form and Instruction CMS-10137 Cost Application for New Cost Plan
Form and Instruction CMS-10137 PACE Application for New PACE Organization
Form and Instruction CMS-10137 PDP Application for New PDP
Form and Instruction CMS-10137 SAE SAE Application for PDP and MA-PD
Form and Instruction CMS-10137 MA-PD Application for New MA-PD
Total burden requested under this ICR: 295 3576 0  
To view an IC, click on IC Title