Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Public Respondents - Retiree Drug Subsidy (RDS) Payment Request and Instructions Removed 0 0 0 Instruction
Form CMS-10170
Retiree Drug Subsidy (RDS) Payment Request and Instructions (public, private and union sponsors) Modified 2159 326009 0 Instruction
Form CMS-10170
Total burden requested under this ICR: 2159 326009 0  
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