Collection of Drug Event Data from Contracted Part D Providers For Payments

ICR 200909-0938-002

OMB: 0938-0982

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2009-08-25
Supporting Statement A
2009-12-04
ICR Details
0938-0982 200909-0938-002
Historical Active 200605-0938-001
HHS/CMS
Collection of Drug Event Data from Contracted Part D Providers For Payments
Revision of a currently approved collection   No
Regular
Approved with change 12/08/2009
Retrieve Notice of Action (NOA) 09/10/2009
This ICR is approved consistent with revised supporting statement and burden adjustments. Previous terms of clearance remain in effect. The dramatic adjustments in burden suggest that these estimates are subject to wide fluctuation. To ensure that the Medicare Part D paperwork burden reflects any adjustments or changes to the program, this ICR is approved for a period of 2 years.
  Inventory as of this Action Requested Previously Approved
12/31/2011 36 Months From Approved 12/31/2009
947,881,770 0 2,418,000,000
1,896 0 4,836
0 0 0

CMS requires contracted Part D providers to submit prescription drug event (PDE) records as required by the Medicare Prescription Drug Improvement, and Modernization Act of 2003.

PL: Pub.L. 108 - 173 101 Name of Law: Medicare Prescription Drug, Improvement, and Modernization Act of 2003
   Statute at Large: 18 Stat. 1860 Name of Statute: null
  
None

0938-AN08 Final or interim final rulemaking 70 FR 4194 01/28/2005

  74 FR 27040 06/05/2009
74 FR 42307 08/21/2009
No

1
IC Title Form No. Form Name
Collection of Drug Event Data from Contracted Part D Providers For Payments (CMS-10174)

  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 947,881,770 2,418,000,000 0 0 -1,470,118,230 0
Annual Time Burden (Hours) 1,896 4,836 0 0 -2,940 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The burden estimate has been reduced approximately 40% from the original burden estimate. This change reflects actual numbers from the first 3.5 years of the Part D program.

$10,800,000
No
No
Uncollected
Uncollected
No
Uncollected
Bonnie Harkless 4107865666

  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.
09/10/2009


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