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 Disenrollee Survey - MA (CMS-10316)
New
6870
1443
0
Form
CMS-10316
Medicare Disenrollee Survey - MA
Medicare Disenrollee Survey - MA-PD (CMS-10316)
Modified
61831
16694
0
Form
CMS-10316
Medicare Disenrollee Survey - MA PD
Medicare Disenrollment Survey - Stand Alone PDP Version (CMS-10316)
Modified
19791
4750
0
Form
CMS-10316
Medicare Disenrollee Survey: Prescription Drug Plan
Total burden requested under this ICR:
88492
22887
0
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