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 CY2019 ANOCandEOC Instructions FINAL 7_18_2018.pdf No   Fillable Fileable
Instruction HPMS User Guide Extract for CMS-10260.docx No   Fillable Fileable
Instruction CY2019_1_HMO_MAPD_ISNP_CSNP_ANOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_2_PPO_MAPD_ISNP_CSNP_ANOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_3_DE_SNP_ANOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_4_Cost_Plan_ANOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_5_PFFS_ANOC_CLEAN_05032018_.docx No   Fillable Fileable
Instruction CY2019_6_MSA_ANOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_7_HMO_MA_ANOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_8_PPO_MA_ANOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_9_PDP_ANOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_1_HMO_MAPD_ISNP_CSNP_EOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_2_PPO_MAPD_ISNP_CSNP_EOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_3_DE_SNP_EOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_4_Cost_Plan_EOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_5_PFFS_EOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_6_MSA_EOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_7_HMO_MA_EOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_8_PPO_MA_EOC_CLEAN_05032018.docx No   Fillable Fileable
Instruction CY2019_9_PDP_EOC_CLEAN_05032018.docx No   Fillable Fileable

Health Health Care Services

 

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

  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 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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