Information Collection

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

IC 8853 under ICR 201105-0938-009 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
CMS-10185.CY2012_Part D Reporting Requirements_Draft_07222011.docx Other-CMS-10185.CY2012_Part D Report

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-CMS-10185.CY2012_Part D Reporting Requirements_Draft_07222011			CMS-10185.CY2012_Part D Reporting Requirements_Draft_07222011.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,993	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	47,028	-45,109	-288,047	380,184
Annual IC Time Burden (Hours)	66,498	-41,920	-49,032	157,450
Annual IC Cost Burden (Dollars)	3,107,452	3,107,452	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.