Information Collection
Medicare Prescription Drug Plan (PDP) Disenrollment Reasons Survey - (CMS-10316)
IC 194737 under ICR 201009-0938-015 · OMB 0938-1113.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1113 can be found here:
Documents and Forms
| Document Name | Document Type |
|---|---|
Form CMS-10316Medicare Prescription Drug Plan (PDP) Disenrollment Reasons Survey - (CMS-10316) |
Form and Instruction |
CMS-10316 Medicare Disenrollee Survey (Stand Alone PDP and MAPD)Attachments 1 2 3 and 4_revised09 01 10.pdf | Form and Instruction |
Information Collection (IC) Details
| IC Title | Medicare Prescription Drug Plan (PDP) Disenrollment Reasons Survey - (CMS-10316) |
|---|