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View Information Collection (IC)

View Information Collection (IC)

Notice of Denial of Medicare Prescription Drug Coverage (CMS-10146)
 
No Modified
 
Mandatory
 
42 CFR 423.582 42 CFR 423.568(c) 42 CFR 423.568(d) 42 CFR 423.580

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10146 Yes No Fillable Printable
Instruction No   Printable Only

Health Health Care Services

 

743 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 2,631,728 0 0 3,830 0 2,627,898
Annual IC Time Burden (Hours) 657,932 0 0 957 0 656,975
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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