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

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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 422.516(a)(3),(a)(4),(a)(6) 42 CFR 423.514 (a)(1) (a) (2) 42 CFR 422.516_(a)(1),(a)(2) 42 CFR 423.514 (a)(3) (a) (4) (a) (6)

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 %

  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 840 0 0 0 0 840
Annual IC Time Burden (Hours) 10,920 0 0 0 0 10,920
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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