Medicare Part D Reporting Requirements (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⚠️ Notice: This information collection may be referencing outdated material.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 (CMS-10185) Form and Instruction
CMS-10185 Medicare Part D Reporting Requirements CY2013_Part D Reporting Requirements_Draft_10032012.docx Form and Instruction

Information Collection (IC) Details

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:

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 %

	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

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.