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 6981 65391 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: 6981 65391 0  
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