Information Collection

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

IC 8853 under ICR 201208-0938-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form CMS-10185 CY 2013 Part D Reporting Requirements Medicare Part D Reporting Requirements CY 2009 (CMS-10185)	Form and Instruction
CMS-10185 CY 2013 Part D Reporting Requirements CY2013_Part_D_Reporting_Requirements_Draft_07062012.pdf	Form and 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
Form and Instruction	CMS-10185				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,180

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	48,152	1,124	47,028
Annual IC Time Burden (Hours)	76,240	9,742	66,498
Annual IC Cost Burden (Dollars)	3,563,695	456,243	3,107,452

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.

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