Information Collection Request

Part D Drug Management Program (CMS-10874)

ICR 202408-0938-008 · OMB 0938-1465 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10874 Part D Drug Management Program Form Modified Repair queued
CMS-10874 - Supporting Statement A (CMS-4205-F version 8).docx Supporting Statement A Uploaded 2024-08-08 Repair queued
DMP ICR 60-day comment response.pdf Supplementary Document Uploaded 2024-08-08 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
264405 Part D Drug Management Program Form Modified

ICR Details

Record metadata
Received in OIRA
HHS/CMS
0938-1465
New collection (Request for a new OMB Control Number)
202312-0938-003
CM-CPC
1969-12-31
1969-12-31