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

View Information Collection (IC)

Medicare Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111
 
No New
 
Mandatory
 
42 CFR 422.422.111

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-R-0282 Yes Yes Paper Only
Instruction Yes Yes Paper Only
Other-Other Yes Yes Paper Only

Health Health Care Services

 

434 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 42,098 0 0 42,098 0 0
Annual IC Time Burden (Hours) 3,368 0 0 3,368 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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