Information Collection

Medicaid Drug Rebate Program - Manufacturers and supporting regulation at 42 CFR 447.534

IC 8183 under ICR 200312-0938-009 · OMB 0938-0578.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0578 can be found here:

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Information Collection (IC) Details

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IC Title:	Medicaid Drug Rebate Program - Manufacturers and supporting regulation at 42 CFR 447.534	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	367C	Yes	Yes
Form	367A	Yes	Yes
Form	367	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 570	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 85 %

	Requested	Previously Approved
Annual Number of Responses for this IC	2,280	2,280
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.