Information Collection

The Adjusted Community Rate Proposal (ACRP) M+C Plan Benefit Package & Supporting Regulations in 42 CFR 417.401, 422.1-422.10, 422.50-422.80,422.100-422.132,422.300-422.312,422.400-422.404....

IC 8494 under ICR 200001-0938-006 · OMB 0938-0763.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0763 can be found here:

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Information Collection (IC) Details

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IC Title:	The Adjusted Community Rate Proposal (ACRP) M+C Plan Benefit Package & Supporting Regulations in 42 CFR 417.401, 422.1-422.10, 422.50-422.80,422.100-422.132,422.300-422.312,422.400-422.404....	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-R-262				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	900	900
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.