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Medicare Part D Reporting Requirements CY 2009 (CMS-10185)
Medicare Part D Reporting Requirements under 42 CFR section 423.505
OMB: 0938-0992
IC ID: 8853
OMB.report
HHS/CMS
OMB 0938-0992
ICR 200906-0938-002
IC 8853
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0992 can be found here:
2024-11-01 - No material or nonsubstantive change to a currently approved collection
2024-05-29 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Redline of changes made for 30-day draft of Part D Plan Reporting Requirements.docx
Other-TRK Changes
CY2010_Part D Reporting Requirements_DRAFT_051109.doc
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Medicare Part D Reporting Requirements CY 2009 (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
Other-TRK Changes
Redline of changes made for 30-day draft of Part D Plan Reporting Requirements.docx
Yes
Yes
Paper Only
Instruction
CY2010_Part D Reporting Requirements_DRAFT_051109.doc
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,526
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
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
380,184
0
49,908
0
0
330,276
Annual IC Time Burden (Hours)
157,450
0
-129,682
0
0
287,132
Annual IC Cost Burden (Dollars)
0
0
0
0
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.