CMS Plan Benefit Package (PBP) and Formulary CY 2026 (CMS-R-262) - IRA

ICR 202503-0938-003

OMB: 0938-0763

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-R-262 CY2026 Plan Benefit Package (PBP) Software and Formulary Submission Form and Instruction	Modified
Appendix_A_CMS-R-262_CY2026_PBP_Sprtng_Stmnt_clean.docx Supporting Statement A	2025-03-21
Appendix_B_PRA List of changes CY 2026 30 day clean.pdf Supplementary Document	2025-03-18
Appendix_B_PRA_List_of_changes_CY_2026.pdf Supplementary Document	2025-03-18
CY2026 PRA 60-day comments.docx Supplementary Document	2025-03-18

IC Document Collections

IC ID	Document Title	Status
43667	CY2026 Plan Benefit Package (PBP) Software and Formulary Submission Form and Instruction	Modified