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Solicitation for Applications for Medicare Prescription Drug Plan 2027 Contracts

IC 43672 under ICR 202511-0938-020 · OMB 0938-0936.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Solicitation for Applications for Medicare Prescription Drug Plan 2027 Contracts
 
No Modified
 
Mandatory
 
42 CFR 423.120 42 CFR 423.440 42 CFR 423.153 42 CFR 423.512 42 CFR 423.514 42 CFR 423.112

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10137 Solicitation for Application for Medicare Prescription Drug Plan 2027 Contracts 2027 Part D Application .docx Yes Yes Fillable Printable
Form and Instruction CMS-10137 PACE Medicare Part D Application 2026 PACE Part D Application .docx Yes Yes Fillable Printable

Health Health Care Services

 

785 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 402 0 0 -22 0 424
Annual IC Time Burden (Hours) 1,724 0 0 -85 0 1,809
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2026 PACE Part D Application Redline 2026 PACE Part D Application PRA 30 Day REDLINE.pdf 11/28/2025
2027 Part D Application Redline 2027 Part D Application PRA 60 Day REDLINE.pdf 11/28/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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