Response to Comments Document
CMS Response to Public Comments_CMS-10718, OMB 0938-1378.docx
Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form (CMS-10718)
Response to Comments Document
OMB: 0938-1378
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1378 can be found here: