Part D Coordination of Benefits Data (CMS-10171)

ICR 202504-0938-002

OMB: 0938-0978

Federal Form Document

Forms and Documents

Document Name	Status
CMS-10171 - Supporting Statement A_.docx Supporting Statement A	2025-05-12
CMS-10171-60-Day Comment Response.docx Supplementary Document	2025-04-02

IC Document Collections

IC ID	Document Title	Status
8840	Coordination of Benefits between Part D Plans and Other Prescription Coverage Providers Instruction	Modified