Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CY2013 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262 Modified 6169 57477 0 Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Form CMS-R-262 CY 2015 MTMP Screenshots
Form CMS-R-262 PBP 2015 Data Entry System (Rx screen shots)
Form CMS-R-262 PBP 2015 Data Entry System (section A screen shots)
Form CMS-R-262 PBP 2015 Data Entry System (section B screen shots)
Form CMS-R-262 PBP 2015 Data Entry System (section C screen shots)
Form CMS-R-262 PBP 2015 Data Entry System (section D screen shots)
Total burden requested under this ICR: 6169 57477 0  
To view an IC, click on IC Title