Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a)

Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261)

OMB: 0938-1054

IC ID: 186859

Documents and Forms
Document Name
Document Type
Instruction
Other-Crosswalk
Information Collection (IC) Details

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Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a)
 
No Modified
 
Mandatory
 
42 CFR 422.516(a)(4) 42 CFR 422.516(a)(2) 42 CFR 422.516(a)(6) 42 CFR 422.516(a)(3) 42 CFR 422.516(a)(1)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction PartC_Techspecs_2016ReportingYear 10-29-15.pdf Yes Yes Printable Only
Other-Crosswalk Appendix C CMS-10261 Crosswalk 103015.pdf No   Printable Only

Health Health Care Services

 

562 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,072 0 0 -3,643 0 6,715
Annual IC Time Burden (Hours) 182,023 0 12,420 45 0 169,558
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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