Information Collection

Part D Communication Requirments Required Materials and Content (423.2267)

IC 242684 under ICR 202512-0938-014 · OMB 0938-1378.

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Information Collection (IC) Details

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IC Title:	Part D Communication Requirments Required Materials and Content (423.2267)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 423.2267

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	60	-3	63
Annual IC Time Burden (Hours)	360	-18	378
Annual IC Cost Burden (Dollars)	0	0	0

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