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
CY2016 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262)
Modified
5872
56411
0
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Form and Instruction
CMS-R-262
CY 2016 MTMP – Fees Page Mockups
Form
CMS-R-262
CY 2016 PBP Data Entry System Screens (section A)
Form
CMS-R-262
CY 2016 PBP Data Entry System Screens (section B)
Form
CMS-R-262
CY 2016 PBP Data Entry System Screens (section C)
Form
CMS-R-262
CY 2016 PBP Data Entry System Screens (section D)
Form
CMS-R-262
CY 2016 PBP Data Entry System Screens (section Rx)
Total burden requested under this ICR:
5872
56411
0
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