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Drug Pricing Program Reporting Requirements
Drug Pricing Program Reporting Requirements
OMB: 0915-0176
IC ID: 6404
OMB.report
HHS/HSA
OMB 0915-0176
ICR 201302-0915-001
IC 6404
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0176 can be found here:
2019-09-12 - Extension without change of a currently approved collection
2016-05-24 - Revision of a currently approved collection
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
50
0
0
42
0
8
Annual IC Time Burden (Hours)
1,188
0
0
1,054
0
134
Annual IC Cost Burden (Dollars)
0
0
0
0
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.