Solicitation for Applications for Medicare Prescription Drug Plan 2021 Contracts

Solicitation for Applications for Medicare Prescription Drug Plan 2021 Contracts (CMS-10137)

OMB: 0938-0936

IC ID: 43672

Information Collection (IC) Details

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Solicitation for Applications for Medicare Prescription Drug Plan 2021 Contracts
 
No Modified
 
Mandatory
 
42 CFR 423.514 42 CFR 423.512 42 CFR 423.112 42 CFR 423.120 42 CFR 423.440 42 CFR 423.153

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10137 Solicitation for Application for Medicare Prescription Drug Plan 2021 Contracts 2021 Part D Application_PRA_v30day_CLEAN.pdf Yes Yes Fillable Printable
Form and Instruction CMS-10137 PACE Medicare Part D Application 2020 PACE Part D Application PRA_v30day CLEAN.pdf Yes Yes Fillable Printable

Health Health Care Services

 

290 0
   
Private Sector Not-for-profit institutions, 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 290 0 34 0 0 256
Annual IC Time Burden (Hours) 1,385 0 -966 0 0 2,351
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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