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

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10887 New MARx File and Addition of Program-Specific Fields (One-time burden) Form and Instruction	New
Form CMS-10887 Beneficiary-Level Program Data Submission: Form and Instruction	New
CMS-10887_MARx_Supporting Statement A.docx Supporting Statement A	2024-04-08
PRA_MARx_OMB 0938_Crosswalk_04022024.docx Supplementary Document	2024-04-08
PRA_MARx_OMB 0938_Public Comment Responses_04022024.xlsx Supplementary Document	2024-04-05

IC Document Collections

IC ID	Document Title	Status
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