Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Election Process (Beneficiaries) Modified 10800619 3600206 0 Form and Instruction CMS-10718 Enrollment Form
Election Process (MA organization) Modified 10021588 2160124 0 Form and Instruction CMS-10718 Enrollment Form
Eligibility and Enrollment Eligibility and enrollment (Beneficiaries) Modified 5871254 1957085 0 Form and Instruction CMS-10718 Enrollment Form
Eligibility and Enrollment Eligibility and enrollment (Part D sponsor) Modified 7332514 1162738 0 Form and Instruction CMS-10718 Enrollment Form
Medicare Advantage Communication Requirements Review and Distribution of Marketing Materials Modified 700 4200 0
Part D Communication Requirements, Review and Distribution of Marketing Materials Modified 68 408 0
Total burden requested under this ICR: 34026743 8884761 0  
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