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Medicare Competitive Acquisition Program (CAP) for Part B Drugs Evaluation: CAP Physician Survey (CMS-10223)

IC 181308 under ICR 200707-0938-010 · OMB 0938-1030.

Documents and Forms
Document Name
Document Type
Other-Advance Letter,Cover Letter,Fo
Information Collection (IC) Details

View Information Collection (IC)

Medicare Competitive Acquisition Program (CAP) for Part B Drugs Evaluation: CAP Physician Survey (CMS-10223)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Advance Letter,Cover Letter,Follow-up Letter, Frequently Asked Questions, CAP Participating Survey and CAP NON-Participating Survey CMS-10223 CAP_OMB_package_revised(3) 12_12_07.doc Yes Yes Paper Only

Health Health Care Services

 

1,560 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 1,560 0 1,560 0 0 0
Annual IC Time Burden (Hours) 297 0 297 0 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.