Information Collection Request

Medicare Advantage and Prescription Drug Program: Final Marketing Provisions CFR 422.111(a)(3) and 423.128(a)(3) (CMS-10260)

ICR 201703-0938-013 · OMB 0938-1051 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Attachment B Comments and Response to Federal Register Notice 1 and 2 4-17-2017.docx Supplementary Document Uploaded 2017-04-19 Available
Final CMS-10260 - Supporting Statement - Passback2 CLEAN.doc Supporting Statement A Uploaded 2017-05-12 Available
Attachment A 2018 ANOC_EOC Crosswalk Final 4-17-2017.docx Supplementary Document Uploaded 2017-04-19 Available
Attachment B Comments and Response to Federal Register Notice 1.docx Supplementary Document Uploaded 2017-03-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
186438 Medicare Advantage and Prescription Drug Benefit Program: Final Marketing Provisions referenced in 42 CFR 422.111(a)(3) and 423.128(a)(3) Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2020 36 Months From Approved 05/31/2017
805 0 770
9,660 0 9,240
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Medicare Advantage and Prescription Drug Benefit Program: Final Marketing Provisions referenced in 42 CFR 422.111(a)(3) and 423.128(a)(3)

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 805 770 0 0 35 0
Annual Time Burden (Hours) 9,660 9,240 0 0 420 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No