Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g))

Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g)) (CMS-10305)

OMB: 0938-1115

IC ID: 194762

Information Collection (IC) Details

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Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g))
 
No Modified
 
Mandatory
 
42 CFR 422.516_(a)(1),(a)(2) 42 CFR 422.516(a)(3),(a)(4),(a)(6) 42 CFR 423.514 (a)(1) (a) (2) 42 CFR 423.514 (a)(3) (a) (4) (a) (6)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction DV Procedure Manual_FINAL_03015019.pdf Yes No Fillable Printable
Form and Instruction CMS-10305 Organizational Assessment Instrument Appendix E Organizational Assessment Instruction_FINAL_03142019.pdf Yes Yes Fillable Printable
Instruction CMS_Appendix B DataValidationStandards_FINAL_01212020.pdf Yes No Printable Only
Instruction Appendix J_FDCF_Updated_Final_01142020.xlsx Yes No Printable Only

Health Health Care Services

 

553 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 553 0 -21 0 0 574
Annual IC Time Burden (Hours) 15,332 0 -8,718 0 0 24,050
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix B Crosswalk Crosswalk_Appendix B.csv 01/22/2020
Appendix J Crosswalk Crosswalk_Appendix J.csv 01/22/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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