Medicare Part D Reporting Requirements (CMS-10185)

Medicare Part D Reporting Requirements under 42 CFR section 423.505

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form CMS-10185 Medicare Part D Reporting Requirements (CMS-10185) Form and Instruction
CMS-10185 Medicare Part D Reporting Requirements (Redline) CY2009 Part D Reporting Requirements REDLINE.doc Form and Instruction
CMS-10185 Medicare Part D Reporting Requirements CY2009_Part D Reporting Requirements.doc Form and Instruction

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10185	Medicare Part D Reporting Requirements (Redline)	CY2009 Part D Reporting Requirements REDLINE.doc		Yes	Yes	Printable Only
Form and Instruction	CMS-10185	Medicare Part D Reporting Requirements	CY2009_Part D Reporting Requirements.doc		Yes	Yes	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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	330,276	330,276
Annual IC Time Burden (Hours)	287,132	287,132
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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