PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Burden on Individuals and States
New
3460750
5517157
0
Other-Medicare Advantage Multi-Language Insert (MLI)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (English)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Hindi)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Arabic)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (French Creole)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (French)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (German)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Italian)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Japanese)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Korean)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Polish)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Portuguese)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Russian)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Simplified Chinese)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Spanish)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Tagalog)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Traditional Chinese)
Form and Instruction
CMS-10891
Application for Medicare Savings Programs (MSP) (Vietnamese)
Total burden requested under this ICR:
3460750
5517157
0
To view an IC, click on IC Title
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