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

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

OMB: 0938-1115

IC ID: 194762

Information Collection (IC) Details

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Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g))
 
No Modified
 
Mandatory
 
42 CFR 423.514 (a)(3) (a) (4) (a) (6) 42 CFR 422.516(a)(3),(a)(4),(a)(6) 42 CFR 423.514 (a)(1) (a) (2) 42 CFR 422.516_(a)(1),(a)(2)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CY 2026 DV_Appendix E_.docx Yes No Printable Only
Instruction CY 2026 DV_Procedure_Manual_.docx Yes No Fillable Printable
Form and Instruction CMS-10305 Organizational Assessment Instrument CY 2026 DV_EES_FINAL_.xlsx Yes Yes Fillable Printable

Health Health Care Services

 

840 0
   
Private Sector Businesses or other for-profits
 
   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 840 0 0 31 0 809
Annual IC Time Burden (Hours) 10,920 0 0 420 0 10,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
DV_Appendix E - Track Change CY 2026 DV_Appendix E_DRAFT_Redlined.pdf 04/23/2025
DV_Procedure_Manual - Track Change CY 2026 DV_Procedure_Manual_DRAFT_Redlined.pdf 04/23/2025
2026 DV_EES- Excel Track Change CY 2026 DV_EES_20250211_DRAFT_Redlined.xlsx 04/15/2025
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