Collection of Drug Event Data from Contracted Part D Providers For Payments (CMS-10174)

Collection of Drug Event Data from Contracted Part D Providers For Payments

OMB: 0938-0982

IC ID: 43675

Documents and Forms
Document Name
Document Type
Instruction
Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Collection of Drug Event Data from Contracted Part D Providers For Payments (CMS-10174)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction PDEGuidance.pdf Yes No Printable Only
Instruction PDE Inbound File Layout Effective February 28-2013.xls Yes Yes Printable Only

Health Health Care Services

 

767 149
   
Private Sector Not-for-profit institutions, 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 1,161,434,065 0 0 213,552,295 947,881,770 0
Annual IC Time Burden (Hours) 2,323 0 0 427 1,896 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk Crosswalk.doc 09/11/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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