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View Information Collection (IC)

View Information Collection (IC)

Solicitation for Applications for Medicare Prescription Drug Plan 2015 Contracts
 
No Modified
 
Mandatory
 
42 CFR 423.514 42 CFR 423.440 42 CFR 423.153 42 CFR 423.112 42 CFR 423.120 42 CFR 423.512

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10137 Yes Yes Fillable Printable
Form and Instruction CMS-10137 Yes Yes Fillable Printable

Health Health Care Services

 

254 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 254 0 0 13 0 241
Annual IC Time Burden (Hours) 2,319 0 0 187 0 2,132
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk 10/29/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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