ICR Documents

Document Date Uploaded
supporting statement A_disenrollment reasons survey_V2_clean.docx 06/26/2023

Document Date Uploaded
CMS-10316_supporting statement B_disenrollment reasons survey_.docx 04/26/2023

Title Document Document Type Date Uploaded
MA PDP- Crosswalk MA_PD Disenrollment Survey crosswalk_OMB__1.25.2023_508Compliant.pdf Supplementary Document 04/26/2023
MA Only - Crosswalk MA-Only Disenrollment Survey crosswalk_OMB_1.25.2023_508Compliant.pdf Supplementary Document 04/26/2023
PDP Only - Crosswalk PDP Disenrollment Survey crosswalk_OMB__1.25.2023_508Compliant.pdf Supplementary Document 04/26/2023
Response to Comment Documents Response to Public Comments_Final.docx Supplementary Document 06/26/2023

Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received
Martin, Jennifer
UHC Comments - Disenrollment Reasons Survey.pdf
UnitedHealthcare Other -- Reginfo.gov Simple 05/30/2023 05/30/2023