Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Disenrollee Survey - MA Modified 22652 5210 0 Form CMS-10316 Medicare Disenrollee Survey - MA
Medicare Disenrollee Survey - MA-PD Modified 22652 5210 0 Form CMS-10316 Medicare Disenrollee Survey - MA PD
Medicare Disenrollment Survey - Stand Alone PDP Version Modified 11668 2334 0 Form CMS-10316 Medicare Disenrollee Survey: Prescription Drug Plan
Total burden requested under this ICR: 56972 12754 0  
To view an IC, click on IC Title