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Medicare Part C and Medicare Part D Enrollment Form Interviews (CMS-10816)
ICR 202211-0938-013
OMB: 0938-1440
Federal Form Document
OMB.report
HHS/CMS
OMB 0938-1440
ICR 202211-0938-013
( )
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1440 can be found here:
2023-12-08 - No material or nonsubstantive change to a currently approved collection
Forms and Documents
Document
Name
Status
Form CMS-10816 Interview Guide
Form and Instruction
New
Form CMS-10816 Invitation & Screening
Form and Instruction
New
CMS-10816 - Supporting Statement A.docx
Supporting Statement A
2022-11-29
CMS-10816 - Supporting Statement B.docx
Supporting Statement B
2022-11-28
CMS Response to CMS-10816 60-day Public Comments 11.14.22 Final.docx
Supplementary Document
2022-11-28
IC Document Collections
IC ID
Document
Title
Status
257119
Interview Guide
Form and Instruction
New
257116
Invitation & Screening
Form and Instruction
New
ICR Details
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