Medicare Plus Choice Program Requirements Referenced in 42 CFR 422.000 - 422.700

Medicare Plus Choice Program Requirements Referenced in 42 CFR 422.000 - 422.700

OMB: 0938-0753

IC ID: 8462

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Medicare Plus Choice Program Requirements Referenced in 42 CFR 422.000 - 422.700
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-R-267 Yes Yes


    

8,200,009 0
   
Private Sector Businesses or other for-profits
 
   75 %

  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 13,121,407 0 0 5,463,873 0 7,657,534
Annual IC Time Burden (Hours) 2,064,439 0 0 -55,567 0 2,120,006
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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