Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g)) (CMS-10305)

ICR 202504-0938-014

OMB: 0938-1115

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1115 can be found here:

2025-09-09 - Extension without change of a currently approved collection

Forms and Documents

Document Name	Status
CMS-10305.Non Substantive Change Request Memo_Medicare Part C &D Data Validation_Clean.docx Justification for No Material/Nonsubstantive Change	2025-04-24
CMS-10305.Non Substantive Change Request Memo_Medicare Part C &D Data Validation_Clean.docx Justification for No Material/Nonsubstantive Change	2025-04-24
CMS-10305_Supporting Statement A_Clean.docx Supporting Statement A	2025-04-15
CMS-10305_Supporting Statement A_Clean.docx Supporting Statement A	2025-04-15
CY 2025 to CY 2026 DV Crosswalk.xlsx Supplementary Document	2025-04-15
CY 2025 to CY 2026 DV Crosswalk.xlsx Supplementary Document	2025-04-15
CMS-10305_Supporting Statement B_Clean.docx Supporting Statement B	2025-04-15
CMS-10305_Supporting Statement B_Clean.docx Supporting Statement B	2025-04-15

IC Document Collections

IC ID	Document Title	Status
194762	Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g)) Instruction	Modified

ICR Details

© 2025 OMB.report | Privacy Policy