Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Preparation and Issuance of Model Notices (section 423.120(c)(6)) New 95000 7885 0
Business Continuity Plans under 422.504(o) and 423.505(p) Unchanged 99 15920 0
Creation of Model Notices (Plans) (section 423.120(c)(6)) New 212 636 0
Medicare Prescription Drug Benefit Program (Benes) Unchanged 9869100 2847975 0
Medicare Prescription Drug Benefit Program (Plans) Modified 43862376 5687919 0 Form CMS-10141
Instruction
Form CMS-10141
Form CMS-10141
Form CMS-10141
Form CMS-10141
Form CMS-10141
Form CMS-10141
Instruction
State Eligibility Determinations (423.904(b)) and Reporting (423.910(d)) Unchanged 600102 13260 0
System Programming (Plans) (section 423.120(c)(6)) New 30 93600 0
Total burden requested under this ICR: 54426919 8667195 0  
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