Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Prescriptio Medicare Advantage Prescription Drug Plan (MA-PD) Disenrollment Reasons Survey (CMS-10316) New 60000 18000 0 Form and Instruction CMS-10316 Medicare Disenrollee Survey (Stand Alone PDP and MAPD)
Medicare Prescription Drug Plan (PDP) Disenrollment Reasons Survey - (CMS-10316) New 60000 16800 0 Form and Instruction CMS-10316 Medicare Disenrollee Survey (Stand Alone PDP and MAPD)
Total burden requested under this ICR: 120000 34800 0  
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