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

Medicare Part D Reporting Requirements under 42 CFR section 423.505

⚠️ Notice: This information collection may be referencing outdated material.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
Form CMS-10185 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

Information Collection (IC) Details

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
Form and Instruction	CMS-10185	CY 2013 Part D Reporting Requirements	CY2013_Part_D_Reporting_Requirements_Draft_07062012.pdf		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 %

	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

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.