The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262)

ICR 202302-0938-003

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0763 can be found here:

Forms and Documents

Document Name	Status
Form CMS-R-262 CY2023 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262) Form and Instruction	Modified
CMS-R-262_CY2024_PBP_Sprtng_Stmnt_.docx Supporting Statement A	2023-02-07
Appendix_B_CY 2024 PBP List of Changes.pdf Supplementary Document	2023-02-02
CY2024 PRA 60-day comments 01192023.docx Supplementary Document	2023-02-02

IC Document Collections

IC ID	Document Title	Status
43667	CY2023 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262) Form and Instruction	Modified

ICR Details