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pdf2013 PRA Package CMS-10198 (0938-1013)
Estimated Breakout of PRA Estimates for Disclosure Notices to Individuals
By Type of Sponsor
GRAND TOTAL
DESCRIPTION
Type of Plan/
Respondent
Health Plans (Active
Workers)
Retiree Drug Plan
Sponsors
Number of
Plans/
Respondents
75,860
Type of Notice
Annual and Initial Notices
An Additional Change in CC Status
Annual and Initial Notices
n/a
9,521
Federal Government
Annual # Est. Minutes
Number of
Annual # Est. Minutes
Notices/
Annual Burden
Notices/
per
per
Plans/
Hours
Responses
Response
Respondents Responses Response
75,860
5
6321.7
82
82
5
1,500
5
125.0
0
0
0
9,521
5
793.4
5
5
5
130
5
10.8
0
0
0
204
5
17.0
An Additional Change in CC Status
Annual and Initial Notices
n/a
204
An Additional Change in CC Status
Annual and Initial Notices
0
29
0
29
0
5
0.0
2.4
An Additional Change in CC Status
Annual and Initial Notices
0
10
0
10
0
5
0.0
0.8
An Additional Change in CC Status
Annual and Initial Notices
0
11
0
11
0
5
0.0
0.9
An Additional Change in CC Status
0
85,635.0
0
87,265.0
0
40
0.0
7272.1
Annual
Burden
Hours
6.8
0
0.4
0
Medigap Issuers
Indian Health Service (1
I.H.S. Plan included
under Federal Health
State Pharmacy Plus
Programs
State Pharmaceutical
Assistance Programs
Totals
Health Plans (Active
Workers)
Retiree Drug Plan
Sponsors
0
0
0
0
0
0
0
87
87
10
7.3
Private Sector Businesses (for-profit &
not for profit)
State, Local or Tribal Governments
DESCRIPTION
Type of Plan/
Respondent
0
Number of
Plans/
Respondents
1,521
Type of Notice
Annual and Initial Notices
An Additional Change in CC Status
Annual and Initial Notices
0
1,216
An Additional Change in CC Status
Annual and Initial Notices
0
Annual # Est. Minutes
Number of
Annual # Est. Minutes
Notices/
per
Annual Burden
Plans/
Notices/
per
Hours
Responses
Response
Respondents Responses Response
1,521
5
126.8
75,360
75,360
5
0
0
0.0
n/a
1,500
5
1,216
5
101.3
8,300
8,300
5
0
0
0.0
n/a
130
5
204
204
5
Annual
Burden
Hours
6,280.0
125.0
691.7
10.8
17.0
Medigap Issuers
An Additional Change in CC Status
Annual and Initial Notices
29
29
5
2.0
16
16
5
1.3
An Additional Change in CC Status
Annual and Initial Notices
0
11
0
11
0
5
0.0
0.9
An Additional Change in CC Status
0
2,793
0
2,793
0
25
0.0
232.3
0
0
0
0
83,864
85,494
25
7,124.5
Indian Health Service
State Pharmacy Plus
Programs
State Pharmaceutical
Assistance Programs
Totals
An Additional Change in CC Status
Annual and Initial Notices
| File Type | application/pdf |
| Author | Audrey McDowell |
| File Modified | 2013-11-21 |
| File Created | 2013-06-06 |