View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0935	ICR Reference No: 201711-0938-005
Status: Historical Active	Previous ICR Reference No: 201610-0938-011
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: Applications for Part C Medicare Advantage, 1876 Cost Plans, and Employer Group Waiver Plans to Provide Part C Benefits (CMS-10237)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/02/2018
	Date Received in OIRA: 11/16/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved	02/29/2020
Responses	380	0	310
Time Burden (Hours)	6,246	0	10,941
Cost Burden (Dollars)	0	0	0

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