Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Allowed Amount File New 4082 808513 0 Form and Instruction CMS-10715
Form and Instruction CMS-10715
Customer Service Representatives Training New 3270 6540 0 Instruction
In-Network Rate File New 4082 1566739 0 Form and Instruction CMS-10715
Form and Instruction CMS-10715
Internet-based Self-Service Tool New 490 11417705 0 Form and Instruction CMS-10715
Form and Instruction CMS-10715
Prescription Drug File New 4082 504831 0 Other-Data Elements
Requests for Mailed Disclosures New 21264 5316 0 Other-Instruction
Total burden requested under this ICR: 37270 14309644 0  
To view an IC, click on IC Title