Information Collection Request
The Medicare Advantage and Prescription Drug Programs: Part C and Part DMedicare Advantage Prescription Drug (MARx) System Updates for the Medicare Prescription Payment Plan Program (CMS-10887 - IRA
ICR 202404-0938-007 · OMB 0938-1468 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10887 New MARx File and Addition of Program-Specific Fields (One-time burden) |
Form and Instruction | New | Repair queued |
| Form CMS-10887 Beneficiary-Level Program Data Submission: |
Form and Instruction | New | Repair queued |
 CMS-10887_MARx_Supporting Statement A.docx |
Supporting Statement A | Uploaded 2024-04-08 | Repair queued |
| PRA_MARx_OMB 0938_Crosswalk_04022024.docx |
Supplementary Document | Uploaded 2024-04-08 | Repair queued |
 PRA_MARx_OMB 0938_Public Comment Responses_04022024.xlsx |
Supplementary Document | Uploaded 2024-04-05 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 266660 |  New MARx File and Addition of Program-Specific Fields (One-time burden) |
Form and Instruction | New | |
| 266610 | Beneficiary-Level Program Data Submission: |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1468 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |