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
CY2017 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262)
Modified
5448
52902
0
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Form
CMS-R-262
Medication Therapy Management Program (MTMP)
Form
CMS-R-262
CY 2017 PBP Data Entry System Screens - Section A
Form
CMS-R-262
CY 2017 PBP Data Entry System Screens - Section B
Form
CMS-R-262
CY 2017 PBP Data Entry System Screens - Section B (VBID)
Form
CMS-R-262
CY 2017 PBP Data Entry System Screens - Section C
Form
CMS-R-262
CY 2017 PBP Data Entry System Screens - Section D
Form
CMS-R-262
CY 2017 PBP Data Entry System Screens - Section Rx
Form
CMS-R-262
CY 2017 PBP Data Entry System Screens - Section Rx (VBID)
Instruction
Instruction
Total burden requested under this ICR:
5448
52902
0
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