Information Collection

Form 8947-Report of Branded Prescription Drug Information

IC 194473 under ICR 201107-1545-015 · OMB 1545-2192.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8947 Form 8947-Report of Branded Prescription Drug Information	Form and Instruction
8947 Report of Branded Prescription Drug Information Form_8947_revOCT2011.pdf	Form and Instruction
F8947brdn_busi.PDF 2011 Burden Computation	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8947	Report of Branded Prescription Drug Information	Form_8947_revOCT2011.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	400	0	400
Annual IC Time Burden (Hours)	3,584	-96	3,680
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2011 Burden Computation	F8947brdn_busi.PDF	07/25/2011

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