Competitive Acquisition Program (CAP) for Medicare Part B Drugs: CAP Physician Election Agreement

ICR 200602-0938-003

OMB: 0938-0987

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0987 200602-0938-003
Historical Active
HHS/CMS
Competitive Acquisition Program (CAP) for Medicare Part B Drugs: CAP Physician Election Agreement
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/04/2006
Retrieve Notice of Action (NOA) 02/14/2006
  Inventory as of this Action Requested Previously Approved
04/30/2009 04/30/2009
10,000 0 0
20,000 0 0
0 0 0

Beginning in 2006, physicians will have a choice between acquiring and billing for Part B covered drugs under the Average Sales Price (ASP) drug payment methodology or electing to receive these drugs from vendors/suppliers selected for the CAP through a competitive bidding process. Competitive bidding is seen as a means of using the dynamics of the marketplace to provide incentives for suppliers to provide reasonably priced products and services of high quality in an efficient manner.

None
None


No

1
IC Title Form No. Form Name
Competitive Acquisition Program (CAP) for Medicare Part B Drugs: CAP Physician Election Agreement CMS-10167

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,000 0 0 10,000 0 0
Annual Time Burden (Hours) 20,000 0 0 20,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/14/2006


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