Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534

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

OMB: 0938-0578

IC ID: 8184

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Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-367 Instructions to Labelers.doc Yes No Printable Only
Form CMS-367 CMS Record Specifications DDR CMS-367 Record File Layout.doc Yes Yes Fillable Fileable
Other-Disclosure Statement CMS-367 disclosure statement.doc Yes No Printable Only

Health Health Care Services

 

580 100
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 9,280 0 640 0 0 8,640
Annual IC Time Burden (Hours) 137,344 0 9,472 0 0 127,872
Annual IC Cost Burden (Dollars) 10,000 0 0 -6,383,600 0 6,393,600

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