Information Collection

Medicare Part D Reporting Requirements (CMS-10185)

IC 8853 under ICR 200809-0938-011 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.