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Medicare Part D Reporting Requirements
Medicare Part D Reporting Requirements and Supporting Regulations in MMA Title I, Part 423, §423.514(a) (CMS-10185) - IRA
OMB: 0938-0992
IC ID: 8853
OMB.report
HHS/CMS
OMB 0938-0992
ICR 202411-0938-001
IC 8853
( )
Documents and Forms
Document Name
Document Type
Non-Substantive Changes_CY2025_PartD RR_Clean_10.22.2024_.docx
Instruction
Non-Substantive Changes_CY2025_PartD RR_Clean_10.22.2024_.docx
Instruction
Non-Substantive Changes_CY2025_PartD RR_Redlined_10.22.2024_.docx
CY2025_PartD RR_Track Change version
IC Document
Non-Substantive Changes_CY2025_PartD RR_Redlined_10.22.2024_.docx
CY2025_PartD RR_Track Change version
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Medicare Part D Reporting Requirements
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
42 CFR 423.514
42 CFR 423.505
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Non-Substantive Changes_CY2025_PartD RR_Clean_10.22.2024_.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:
1,019
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
14,325
0
0
0
0
14,325
Annual IC Time Burden (Hours)
23,094
0
0
0
0
23,094
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CY2025_PartD RR_Track Change version
Non-Substantive Changes_CY2025_PartD RR_Redlined_10.22.2024_.docx
11/01/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.