Information Collection

Medicare Part D Reporting Requirements (CMS-10185)

IC 8853 under ICR 201211-0938-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Medicare Part D Reporting Requirements (CMS-10185)	Form and Instruction
CMS-10185 Medicare Part D Reporting Requirements CY2013_Part D Reporting Requirements_Draft_10032012.docx	Form and Instruction

IC Title:

Medicare Part D Reporting Requirements (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	Medicare Part D Reporting Requirements	CY2013_Part D Reporting Requirements_Draft_10032012.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 677

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11,269	-36,883	48,152
Annual IC Time Burden (Hours)	14,774	-61,466	76,240
Annual IC Cost Burden (Dollars)	690,389	-2,873,306	3,563,695

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.