Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Beneficiary-Level Program Data Submission: New 3200000 38 0 Form and Instruction CMS-10887 Medicare Prescription Payment Plan example data layout
New MARx File and Addition of Program-Specific Fields (One-time burden) New 856 59920 0 Form and Instruction CMS-10887 Medicare Prescription Payment Plan example data layout
Total burden requested under this ICR: 3200856 59958 0  
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