Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Disenrollee Survey, Medicare Advantage (MA-PD and MA-Only) Modified 36426 8014 0 Form CMS-10316 MA PD Survey
Form CMS-10316 MA Only Survey
Medicare Disenrollee Survey - MA-PD Removed 0 0 0 Form CMS-10316 Medicare Disenrollee Survey - MA PD
Medicare Disenrollee Survey, Stand Alone Prescription Drug Plan (PDP) Version Modified 7446 1340 0 Form CMS-10316 Medicare Disenrollee Survey Prescriptopn Drug Plan
Total burden requested under this ICR: 43872 9354 0  
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