Information Collection

Medicare Part D Reporting Requirements CY 2009 (CMS-10185)

IC 8853 under ICR 200906-0938-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	380,184	49,908	330,276
Annual IC Time Burden (Hours)	157,450	-129,682	287,132
Annual IC Cost Burden (Dollars)	0	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.