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)

Documents and Forms

Document Name Document Type
CY2025 Part C Reporting Requirements 30 day.docx Instruction
CY 2025 Part C Technical Specifications 30 day.docx Instruction
CY2025 Part C Reporting Requirements.redline.docx Track Change_ CY2025 Part C Reporting Requirements IC Document
CY 2025 Part C Technical Specifications.redline.docx Track Change CY2024_Part C Technical Specifications IC Document

Information Collection (IC) Details

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)(6) 42 CFR 422.516(a)(1) 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			CY2025 Part C Reporting Requirements 30 day.docx		Yes	Yes	Printable Only
Instruction			CY 2025 Part C Technical Specifications 30 day.docx		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 783	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,830	1,143	6,687
Annual IC Time Burden (Hours)	222,575	34,596	187,979
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Track Change_ CY2025 Part C Reporting Requirements	CY2025 Part C Reporting Requirements.redline.docx	10/29/2024
Track Change CY2024_Part C Technical Specifications	CY 2025 Part C Technical Specifications.redline.docx	10/29/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.