Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
CY2019 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262)	Modified	6763	65354	0	Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Form and Instruction	R-262	MTMP CY2020 Enhancement Mockups
					Form	R-262	Section A-1
					Form	R-262	#1a Inpatient Hospital-Acute – Base 1
					Form	R-262	#19 VBID/MA Uniformity Flexibility/SSBCI
					Form	R-262	OON – General – Base 1
					Form	R-262	Plan Deductible LPPO/RPPO Base 1
					Form	R-262	Medicare Rx General 1
					Form	R-262	VBID – General
Total burden requested under this ICR:		6763	65354	0
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