Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
CY2022 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262)	Modified	8090	74038	0	Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Form and Instruction	CMS-R-262	MTMP CY2022 Mockups
					Instruction
					Form	CMS-R-262	Section A-1
					Form	CMS-R-262	#1a Inpatient Hospital-Acute – Base 1
					Form	CMS-R-262	#19 VBID/MA Uniformity Flexibility/SSBCI
					Form	CMS-R-262	OON – General – Base 1
					Form	CMS-R-262	Plan Deductible LPPO/RPPO Base 1
					Form	CMS-R-262	Medicare Rx General 1
					Form	CMS-R-262	VBID – General
					Instruction
					Instruction
					Instruction
					Instruction
Total burden requested under this ICR:		8090	74038	0
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