Information Collection

Medicare Part C Audit Guide, Version 4 contained in 42 CFR 423.502

IC 43687 under ICR 200607-0938-011 · OMB 0938-1004.

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Information Collection (IC) Details

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IC Title:	Medicare Part C Audit Guide, Version 4 contained in 42 CFR 423.502	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	CMS-10196				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 393	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 70 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	393	393
Annual IC Time Burden (Hours)	12,576	12,576
Annual IC Cost Burden (Dollars)	0	0

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