Medicare Part C Reporting Requirements
Effective January 1, 2020
Prepared by:
Centers for Medicare & Medicaid Services
Center for Medicare
Medicare Drug Benefit and C&D Data Group
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this
information collection is 0938-1054 (expires on 12/31/2021). The time required to complete this
information collection is estimated to average 4 hours per response, including the time to review
instructions, search existing data resources, and gather the data needed, and complete and review the
information collection. If you have comments concerning the accuracy of the time estimate(s) or
suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports
Clearance Officer, Mail Stop C4-26-05, and Baltimore, Maryland 21244-1850.