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Agenda
Reg Review
ICR
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
29000
6380
0
Form
CMS-10316
MA PD Survey
Form
CMS-10316
MA Only Survey
Medicare Disenrollee Survey, Stand Alone Prescription Drug Plan (PDP) Version
Modified
3750
675
0
Form
CMS-10316
Medicare Disenrollee Survey Prescriptopn Drug Plan
Total burden requested under this ICR:
32750
7055
0
To view an IC, click on IC Title
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