View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Medicare Parts C and D Universal Audit Guide
 
No Modified
 
Mandatory
 
42 CFR 422.504 42 CFR 423.505 42 CFR 423.514

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Other-Template - OEV Universe Yes Yes Printable Only
Instruction Yes No Printable Only
Other-Template - ODAG Universe Yes Yes Fillable Printable
Instruction Yes No Printable Only
Form CMS-10191 Yes Yes Fillable Printable
Instruction Yes No Printable Only
Instruction Yes No Printable Only
Other-Template - CDAG Universe Yes Yes Printable Only
Instruction Yes No Printable Only
Other-Template - FA Universe Yes Yes Printable Only
Instruction Yes No Printable Only
Other-Template - SNP MOC Universe Yes Yes Printable Only
Form CMS-10191 Yes Yes Fillable Printable
Other-template - Organizational Structure and Governance Yes No Printable Only
Form CMS-10191 Yes Yes Fillable Printable
Instruction Yes No Printable Only
Instruction Yes No Printable Only

Health Health Care Services

 

195 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   90 %

  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 195 0 0 0 195 0
Annual IC Time Burden (Hours) 23,595 0 0 -585 24,180 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PRA - Crosswalk - Protocol 2012- 2013 changes v2--REDUCED 07/24/2013
PRA - Crosswalk - Engagement Letter CLEAN 7_9_13--REDUCED 07/24/2013
PRA - Crosswalk - Universal Audit Guide _07_02_13--REDUCED 07/24/2013
PRA - Crosswalk - Auidt Process CLEAN 7_10_13--REDUCED 07/24/2013
Engagement Letter/Start Notice 07/24/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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