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

Information Collection (IC) Details

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CY2017 Part C Reporting Requirements 08_12_16.v3.pdf Yes Yes Printable Only

Health Health Care Services

 

544 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 3,508 0 436 0 0 3,072
Annual IC Time Burden (Hours) 169,077 0 -12,946 0 0 182,023
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk: Technical Specifications Document Crosswalk_PartC_2017_18_60_day_CMS10261.docx 09/23/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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