Information Collection Request

Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 (CMS-367)

ICR 201010-0938-001 · OMB 0938-0578 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-367 Supporting Statement.doc Supporting Statement A Uploaded 2010-10-01 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
8184 Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2013 36 Months From Approved 11/30/2010
9,280 0 8,640
137,344 0 127,872
10,000 0 6,393,600





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 CMS-367 CMS Record Specifications DDR

table that charts list of burden
  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 9,280 8,640 0 640 0 0
Annual Time Burden (Hours) 137,344 127,872 0 9,472 0 0
Annual Cost Burden (Dollars) 10,000 6,393,600 0 0 -6,383,600 0


Reginfo record details
  No