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Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a)
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261)
OMB: 0938-1054
IC ID: 186859
OMB.report
HHS/CMS
OMB 0938-1054
ICR 202410-0938-019
IC 186859
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1054 can be found here:
2024-10-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
CY2024 Part C Reporting Requirements_clean october 2024.docx
Instruction
CY2024 Part C Reporting Requirements_clean october 2024.docx
Instruction
CY2024_Part C Technical Specifications_10.16.2024 clean.docx
Instruction
CY2024_Part C Technical Specifications_10.16.2024 clean.docx
Instruction
CY2024 Part C Reporting Requirements_redline october 2024.docx
Track Change_ CY2024 Part C Reporting Requirements
IC Document
CY2024 Part C Reporting Requirements_redline october 2024.docx
Track Change_ CY2024 Part C Reporting Requirements
IC Document
CY2024_Part C Technical Specifications_10.16.2024 redline.docx
Track Change CY2024_Part C Technical Specifications
IC Document
CY2024_Part C Technical Specifications_10.16.2024 redline.docx
Track Change CY2024_Part C Technical Specifications
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
42 CFR 422.516(a)(1)
42 CFR 422.516(a)(6)
42 CFR 422.516(a)(4)
42 CFR 422.516(a)(2)
42 CFR 422.516(a)(3)
42 CFR 422.135(d)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
CY2024 Part C Reporting Requirements_clean october 2024.docx
Yes
Yes
Printable Only
Instruction
CY2024_Part C Technical Specifications_10.16.2024 clean.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
743
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
6,687
0
0
0
0
6,687
Annual IC Time Burden (Hours)
187,979
0
0
0
0
187,979
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Track Change_ CY2024 Part C Reporting Requirements
CY2024 Part C Reporting Requirements_redline october 2024.docx
10/16/2024
Track Change CY2024_Part C Technical Specifications
CY2024_Part C Technical Specifications_10.16.2024 redline.docx
10/16/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.