Information Collection Request

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

ICR 201309-0938-031 · OMB 0938-0578 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-367 - Supporting -Statement part A [rev 9-24-2013 by OSORA PRA].docx Supporting Statement A Uploaded 2013-09-25 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved 09/30/2016
9,440 0 9,440
139,712 0 139,712
0 0 0





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-367a, 367b, 367c, and 367d CMS Record Specification and Rebate Agreement



Reginfo record details
  No