Information Collection

Medicare Part D Reporting Requirements (CMS-10185)

IC 8853 under ICR 201308-0938-014 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form CMS-10185 Medicare Part D Reporting Requirements (CMS-10185) Form and Instruction
CMS-10185 Medicare Part D Reporting Requirements CMS-10185 - CY2014_Part D Reporting Requirements_Draft 2_07152013.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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 42 CFR 423.505

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	CMS-10185 - CY2014_Part D Reporting Requirements_Draft 2_07152013.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 690	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	8,067	-3,202	11,269
Annual IC Time Burden (Hours)	12,658	-2,116	14,774
Annual IC Cost Burden (Dollars)	577,466	-112,923	690,389

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.