Information Collection Request
Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10142)
ICR 202301-0938-005 · OMB 0938-0944 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0944 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10142 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) |
Form | Modified | Repair queued |
 CMS-10142_Attachment_B_Supporting_Statement.docx |
Supporting Statement A | Uploaded 2023-01-11 | Missing upstream |
 CMS-10142_Attachment_C_BPT_changes.pdf |
Supplementary Document | Uploaded 2023-01-09 | Repair queued |
| PRA2024 CMS Response to Public Comments Received for CMS-10142.pdf |
Supplementary Document | Uploaded 2023-01-09 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 37926 |  Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0944 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202208-0938-016 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |