Information Collection Request

Collection of Drug Pricing and Network Pharmacy Data from Medicare Prescription Drug Plans (PDP and MA-PD) and Supporting Regulations in 42 CFR 423.48

ICR 201312-0938-004 · OMB 0938-0951 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10150 Collection of Drug Pricing and Network Pharmacy Data from Medicare Prescription Drug Plans (PDP and MA-PD) and Supporting Regulations in 42 CFR 423.48 Form and Instruction Modified Available
CMS-10150 Supporting_Statement_Part_A.docx Supporting Statement A Uploaded 2013-11-22 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
8806 Collection of Drug Pricing and Network Pharmacy Data from Medicare Prescription Drug Plans (PDP and MA-PD) and Supporting Regulations in 42 CFR 423.48 Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2017 36 Months From Approved
17,680 0 0
70,720 0 0
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Collection of Drug Pricing and Network Pharmacy Data from Medicare Prescription Drug Plans (PDP and MA-PD) and Supporting Regulations in 42 CFR 423.48 CMS-10150 2014 Pricing Data Guidelines

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 17,680 0 0 0 -520 18,200
Annual Time Burden (Hours) 70,720 0 0 0 34,320 36,400
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No