Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g))

Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g)) (CMS-10305)

OMB: 0938-1115

IC ID: 194762

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Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g))
 
No Modified
 
Mandatory
 
42 CFR 422.516(a)(3),(a)(4),(a)(6) 42 CFR 423.514 (a)(3) (a) (4) (a) (6) 42 CFR 423.514 (a)(1) (a) (2) 42 CFR 422.516_(a)(1),(a)(2)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CY 2023 DV Appendix B_20221014_508.pdf Yes No Printable Only
Instruction CY 2024 DV_Procedure_Manual_20230727_508_Final.pdf Yes No Fillable Printable
Form and Instruction CMS-10305 Organizational Assessment Instrument CY 2024 DV_Appendix E_Clean_20230322_Final.pdf Yes Yes Fillable Printable

Health Health Care Services

 

809 0
   
Private Sector 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 809 0 0 16 0 793
Annual IC Time Burden (Hours) 10,500 0 -11,035 0 0 21,535
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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