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Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516 (a) - (CMS-10261)
 
No New
 
Mandatory
 
42 CFR 422.516(a)(1) 42 CFR 422.516(a)(2) 42 CFR 422.516(a)(3) 42 CFR 422.516(a)(4) 42 CFR 422.516(a)(6)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10261 Yes Yes Paper Only
Form CMS-10261 No No Paper Only
Form and Instruction CMS-10261 Yes Yes Paper Only

Health Health Care Services

 

718 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 12,709 0 12,709 0 0 0
Annual IC Time Burden (Hours) 286,944 22,073 264,871 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Summary of Revisions-9-25-08 09/26/2008
Attachment IV 09/26/2008
Attachment V_PartC_09 09/26/2008
TRK-Attachment I 09/26/2008
TRK-Attachment II changes 09/26/2008
TRK-Attachment III-changes 09/26/2008
further attachment I changes 12/23/2008
further attachment II changes 12/23/2008
further attachment III changes 12/23/2008
response to comments 12/23/2008
Crosswalk_Revisions 12/23/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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