Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Part D Drug Management Program New 62256 152593 0 Form CMS-10874 Initial Notice
Form CMS-10874 Second Notice
Form CMS-10874 Alternate Second Notice
Instruction
Form CMS-10874 Model Prescriber Inquiry Letter
Form CMS-10874 Model Sponsor Information Transfer Memorandum
Total burden requested under this ICR: 62256 152593 0  
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