Annual Notice of Change (ANOC) and Evidence of Coverage (EOC)

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

OMB: 0938-1051

IC ID: 186438

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Information Collection (IC) Details

View Information Collection (IC)

Annual Notice of Change (ANOC) and Evidence of Coverage (EOC)
 
No Modified
 
Mandatory
 
42 CFR 422.111(a)(3) 42 CFR 423.128(a)(3)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CY2018_4_Cost_Plan_ANOC_EOC_05122017 CLEAN.docx Yes No Fillable Printable
Instruction CY2018_3_DE_SNP_ANOC_EOC_05122017 CLEAN.docx Yes No Fillable Printable
Instruction CY2018_7_HMO_MA_ANOC_EOC_05122017 CLEAN.docx Yes No Fillable Printable
Instruction CY2018_1_HMO_MAPD_ISNP_CSNP_ANOC_EOC_05122017 CLEAN.docx Yes No Fillable Printable
Instruction CY2018_6_MSA_ANOC_EOC_05122017 CLEAN.docx Yes No Fillable Printable
Instruction CY2018_9_PDP_ANOC_EOC_05122017 CLEAN.docx Yes No Fillable Printable
Instruction CY2018_5_PFFS_ANOC_EOC_05122017 CLEAN.docx Yes No Fillable Printable
Instruction CY2018_8_PPO_MA_ANOC_EOC_05122017 CLEAN.docx Yes No Fillable Printable
Instruction CY2018_2_PPO_MAPD_ISNP_CSNP_ANOC_EOC_05122017 CLEAN.docx Yes No Fillable Printable
Instruction CY2019_1_HMO_MAPD_ISNP_CSNP_ANOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_2_PPO_MAPD_ISNP_CSNP_ANOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_3_DE_SNP_ANOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_4_Cost_Plan_ANOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_5_PFFS_ANOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_6_MSA_ANOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_7_HMO_MA_ANOC_ONLY_CLEAN_12122017.docx No   Fillable Fileable
Instruction CY2019_8_PPO_MA_ANOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_9_PDP_ANOC_ONLY_CLEAN_12122017.docx No   Fillable Fileable
Instruction CY2019_1_HMO_MAPD_ISNP_CSNP_EOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_2_PPO_MAPD_ISNP_CSNP_EOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_3_DE_SNP_EOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_4_Cost_Plan_EOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_5_PFFS_EOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_6_MSA_EOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_7_HMO_MA_EOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_8_PPO_MA_EOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable
Instruction CY2019_9_PDP_EOC_ONLY_CLEAN_508_12122017.docx No   Fillable Fileable

Health Health Care Services

 

805 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Requested 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 805 0 0 0 0 805
Annual IC Time Burden (Hours) 9,660 0 0 0 0 9,660
Annual IC Cost Burden (Dollars) 8,068,730,000 0 0 8,068,730,000 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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