Information Collection

Drug Pricing Program Reporting Requirements

IC 6404 under ICR 201001-0915-001 · OMB 0915-0176.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0176 can be found here:

Documents and Forms

Document Name Document Type
340B Reporting Req.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Drug Pricing Program Reporting Requirements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			340B Reporting Req.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	134	134
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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