| 2010 PRA Package CMS-10198 (0938-1013) |
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| Estimated Breakout of PRA Estimates for Disclosure Notices to Individuals |
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| By Type of Sponsor |
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| DESCRIPTION |
GRAND TOTAL |
Federal Government |
| Type of Plan/ Respondent |
Type of Notice |
Number of Plans/ Respondents |
Annual # Notices/ Responses |
Est. Minutes per Response |
Annual Burden Hours |
Number of Plans/ Respondents |
Annual # Notices/ Responses |
Est. Minutes per Response |
Annual Burden Hours |
| Health Plans (Active Workers) |
Annual and Initial Notices |
76,905 |
76,905 |
5 |
6,408.8 |
Audrey McDowell:
Issue: Not sure if each separate FEHB plan should be counted separately.
5 |
5 |
5 |
0.4 |
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| An Additional Change in CC Status |
n/a |
1,500 |
5 |
125.0 |
0 |
0 |
0 |
0 |
| Retiree Drug Plan Sponsors |
Annual and Initial Notices |
8,905 |
8,905 |
5 |
742.1 |
Audrey McDowell:
FEHB, Tricare, TVA
5 |
5 |
5 |
0.4 |
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| An Additional Change in CC Status |
n/a |
130 |
5 |
10.8 |
0 |
0 |
0 |
0 |
| Medigap Issuers |
Annual and Initial Notices |
30 |
30 |
5 |
2.5 |
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| An Additional Change in CC Status |
0 |
0 |
0 |
0 |
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| Indian Health Service (1 I.H.S. Plan included under Federal Health Plan Totals) |
Annual and Initial Notices |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
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| An Additional Change in CC Status |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| State Pharmacy Plus Programs |
Annual and Initial Notices |
5 |
5 |
5 |
0.4 |
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| An Additional Change in CC Status |
0 |
0 |
0 |
0 |
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| State Pharmaceutical Assistance Programs |
Annual and Initial Notices |
25 |
25 |
5 |
2.1 |
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| An Additional Change in CC Status |
0 |
0 |
0 |
0 |
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| Totals |
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85,870.0 |
87,500.0 |
35 |
7,291.7 |
10 |
10 |
10 |
0.8 |
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| DESCRIPTION |
State, Local or Tribal Governments |
Private Sector Businesses (for-profit & not for profit) |
| Type of Plan/ Respondent |
Type of Notice |
Number of Plans/ Respondents |
Annual # Notices/ Responses |
Est. Minutes per Response |
Annual Burden Hours |
Number of Plans/ Respondents |
Annual # Notices/ Responses |
Est. Minutes per Response |
Annual Burden Hours |
| Health Plans (Active Workers) |
Annual and Initial Notices |
500 |
500 |
5 |
41.7 |
76,400 |
76,400 |
5 |
6,366.7 |
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| An Additional Change in CC Status |
0 |
0 |
0 |
0 |
n/a |
1,500 |
5 |
125.0 |
| Retiree Drug Plan Sponsors |
Annual and Initial Notices |
400 |
400 |
5 |
33.3 |
8,500 |
8,500 |
5 |
708.3 |
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| An Additional Change in CC Status |
0 |
0 |
0 |
0 |
n/a |
130 |
5 |
10.8 |
| Medigap Issuers |
Annual and Initial Notices |
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30 |
30 |
5 |
2.5 |
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| An Additional Change in CC Status |
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0 |
0 |
0 |
0 |
| Indian Health Service |
Annual and Initial Notices |
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| An Additional Change in CC Status |
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| State Pharmacy Plus Programs |
Annual and Initial Notices |
5 |
5 |
5 |
0.4 |
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| An Additional Change in CC Status |
0 |
0 |
0 |
0 |
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| State Pharmaceutical Assistance Programs |
Annual and Initial Notices |
25 |
25 |
5 |
2.1 |
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| An Additional Change in CC Status |
0 |
0 |
0 |
0 |
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| Totals |
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930 |
930 |
20 |
77.5 |
84,930 |
86,560 |
25 |
7,213.3 |