Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Fee-For-Service (FFS) Survey Modified 275000 68750 0 Form and Instruction CMS-R-246 Fee-For-Service (FFS) Survey
MA-PDP Survey Modified 79500 13515 0 Form and Instruction CMS-R-246 Medicare Advantage and Prescription Drug Plan (MA & PDP) CAHPS Survey
Form and Instruction CMS-R-264 Medicare Advantage and Prescription Drug Plan Survey - Chinese
Form and Instruction CMS-R-246 Prescription Drug Plan Survey - Chinese
Form and Instruction CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Korean
Form and Instruction CMS-R-246 Prescription Drug Plan Survey - Korean
Form and Instruction CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Spanish
Form and Instruction CMS-R-246 Prescription Drug Plan Survey - Spanish
Form and Instruction CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Tagalog
Form and Instruction CMS-R-246 Prescription Drug Plan Survey - Tagalog
Form and Instruction CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Vietnamese
Form and Instruction CMS-R-246 Prescription Drug Plan Survey - Vietnamese
Medicare Advantage (MA) Survey Modified 440000 110000 0 Form and Instruction CMS-R-246 Medicare Advantage Plan Survey
Form and Instruction CMS-R-246 Medicare Advantage Plan Survey - Chinese
Form and Instruction CMS-R-246 Medicare Advantage Plan Survey - Korean
Form and Instruction CMS-R-246 Medicare Advantage Plan Survey - Spanish
Form and Instruction CMS-R-246 Medicare Advantage Plan Survey - Tagalog
Form and Instruction CMS-R-246 Medicare Advantage Plan Survey - Vietnamese
Total burden requested under this ICR: 794500 192265 0  
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