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
CY2011 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262
Modified
6159
54407
4189358
Other-Excluded_Drugs_Record_Layout
Other-Plan_Formulary_Submission_File_Record_Layout
Other-Plan_Free_First_Fill_File_File_Layout
Other-Plan_Gap_Coverage_File_Layout
Other-Plan_Home_Infusion_File_Layout
Other-Plan_Over_The_Counter_File_Record_Layout
Other-Plan_Prior_Authorization_Record_Layout
Other-Step_Therapy_Record_Layout
Other-Formulary and Supplemental Record Layouts Changes
Other-screenshots_section_a
Other-screenshots_section_b
Other-screenshots_section_c
Other-screenshots_section_d
Other-screenshots_section_RX_Drugs
Total burden requested under this ICR:
6159
54407
4189358
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
