PRA ICR Documents
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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
CMS-10316_Supporting statement A_disenrollment survey_ Clean.docx
11/18/2024
Supporting Statement B
Document
Date Uploaded
Supporting statement B_disenrollment survey.docx
07/12/2024
Supplementary Documents
Title
Document
Document Type
Date Uploaded
MA PDP- Crosswalk
MA_PD Disenrollment Survey crosswalk_OMB_01.19.2024_508compliant.pdf
Supplementary Document
07/12/2024
MA Only - Crosswalk
MA-Only Disenrollment Survey crosswalk_OMB_01.19.2024_508compliant.pdf
Supplementary Document
07/12/2024
PDP Only - Crosswalk
PDP Disenrollment Survey crosswalk_OMB_01.19.2024_508compliant.pdf
Supplementary Document
07/12/2024
Response to Comment Documents
Response to Public Comments_May 2024_final_clean.docx
Supplementary Document
07/12/2024
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Martin, Jennifer
UHC.pdf
Director, Regulatory Affairs
UHC
Letter
Simple
05/13/2024
05/13/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.