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

View Information Collection (IC)

Medicare Parts C and D Program Audit Protocols and Data Requests
 
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
Form and Instruction CMS-10191 Yes Yes Fillable Fileable
Form and Instruction CMS-10191 Yes Yes Fillable Fileable
Form and Instruction CMS-10191 Yes Yes Fillable Fileable
Form and Instruction CMS-10191 Yes Yes Fillable Fileable
Form and Instruction CMS-10191 Yes Yes Fillable Fileable
Form and Instruction CMS-10191 Yes Yes Fillable Fileable
Form and Instruction CMS-10191 Yes Yes Fillable Fileable
Form and Instruction CMS-10191 Yes Yes Fillable Fileable
Form and Instruction CMS-10191 Yes Yes Fillable Fileable
Form and Instruction CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable
Form CMS-10191 Yes Yes Fillable Fileable

Health Health Care Services

 

207 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 207 0 0 -34 0 241
Annual IC Time Burden (Hours) 39,456 0 0 -12,805 0 52,261
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
60 Day Crosswalk 12/27/2019
30 Day Crosswalk 02/10/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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