Information Collection

Medicare Part D Reporting Requirements (CMS-10185)

IC 8853 under ICR 200711-0938-001 · OMB 0938-0992.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0992 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
30-CY2008 vs CY2007 RR_ Redline for 30 day PRA.doc	Other-Redline Revision Instructions
60-CY2008_Redline of 60 day changes.doc	Other-Redline Revision Instructions
CMS-10185 CY2008_092007_for PC.doc	Instruction
CY2008_Part D reporting requirements.doc List of revisions from last approval to 60-day FR publication	IC Document
CMS-10185 Summary of Revisions- 60Day Comments to Part D Reporting Requirements_v2.doc List of revisions from 60-day FR comment period	IC Document

IC Title:

Medicare Part D Reporting Requirements (CMS-10185)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 423.514

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Redline Revision Instructions from Last approval to 60-day FR Publication	30-CY2008 vs CY2007 RR_ Redline for 30 day PRA.doc	No	No	Paper Only
Other-Redline Revision Instructions from 60-day FR comment period	60-CY2008_Redline of 60 day changes.doc	Yes	Yes	Paper Only
Instruction	CMS-10185 CY2008_092007_for PC.doc	No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,857

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 94 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	330,276	150,908	179,368
Annual IC Time Burden (Hours)	287,132	163,368	123,764
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
List of revisions from last approval to 60-day FR publication	CY2008_Part D reporting requirements.doc	12/18/2007
List of revisions from 60-day FR comment period	CMS-10185 Summary of Revisions- 60Day Comments to Part D Reporting Requirements_v2.doc	10/11/2007

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