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View Information Collection (IC)

View Information Collection (IC)

Medicare Disenrollee Survey, Stand Alone Prescription Drug Plan (PDP) Version CM-CPC
 
No Modified
 
Voluntary
 
42 CFR 423.156

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10316 No   Fillable Printable

Health Health Care Services

 

3,750 0
   
Individuals or Households
 
   0 %

  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 3,750 0 -3,696 0 0 7,446
Annual IC Time Burden (Hours) 675 0 -665 0 0 1,340
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PDP prenotification letter 04/26/2023
Wave 1 cover letter 04/26/2023
Wave 2 cover letter 04/26/2023
PDP Disenrollment Survey crosswalk 04/26/2023
memo on year-to-year variability 04/26/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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