OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

The Medicare Advantage and Prescription Drug Program: Customized Enrollee Data - Initial

IC 195583 under ICR 201012-0938-006 · OMB 0938-1333.

Documents and Forms
Document Name
Document Type
No indexed documents/forms are available for this IC yet. A refresh has been queued.
Information Collection (IC) Details

View Information Collection (IC)

The Medicare Advantage and Prescription Drug Program: Customized Enrollee Data - Initial
 
No New
 
Mandatory
 
42 CFR 422.111(b)(12) 42 CFR 423.128(b)(11)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

649 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Requested 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 649 0 649 0 0 0
Annual IC Time Burden (Hours) 18,620 0 18,620 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.