Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Election Process (Beneficiaries) Modified 8133142 2708336 0 Form and Instruction CMS-10718 Enrollment Form
Election Process (MA organization) Unchanged 8599602 1614146 0 Form and Instruction CMS-10718 Enrollment Form
Eligibility and Enrollment Eligibility and enrollment (Beneficiaries) Unchanged 6344121 2112592 0 Form and Instruction CMS-10718 Enrollment Form
Eligibility and Enrollment Eligibility and enrollment (Part D sponsor) Unchanged 536717 1268824 0 Form and Instruction CMS-10718 Enrollment Form
Medicare Advantage Communication Requirements Review and Distribution of Marketing Materials Unchanged 541 3606 0
Part D Communication Requirements, Review and Distribution of Marketing Materials Unchanged 60 360 0
Total burden requested under this ICR: 23614183 7707864 0  
To view an IC, click on IC Title