List of all ICR documents REVISED

IC Title	Form Name
340B Program Registrations & Certifications for Hospitals	340B Registration DSH-Revised Cert state or local government-Revised Public OWNERSHIP-Revised 340B Registration Children's Hospital-Revised Public OWNERSHIP Revised 340B Registration Free Standing Cancer-Revised 340B Registration Rural Referral Centers and Sole Community Hospitals (Orphan Drug) 340B Registration-CAH Revised
Certification to Enroll Hospitals' Outpatient facilities to 340B Program	340B Registration-Outpatient Facility-Revised
Hospital Annual Recertification	Hospital Recertification-DSH Recert-Critical Access; Sole-community; Rural-Referral centers (Orphan Drug) Recert-Free standing Cancer Hospital (Orphan Drug)-Revised
340B Registration for all other covered entities	340BRegistration-Covered Entities All Other-Revised
Annual Recertification for Community Health Centers	Community Health Center Recert
Annual Recertification for STD & TB	STD-Recertification TB-Recertification
Annual Recertification for Other Entities	RW-Recert
Administrative Change Form	340B Participant Change Request Revised
Contract Pharmacy Registration Form	Contract Pharmacy Registration-Revised Contract Pharmacy Termination
Administrative Changes for Any Manufacturer	340B Manufacturer Change Form-Revised
Pharmaceutical Pricing Agreement	Manu-Pharma Pricing Agreement (PPA)
Manufacturer Data Required to Verify 340B Ceiling Price Calculations	Manufacturer Data Fields for 340B Ceiling Price
Registrations for Community Health Centers	340B Registration-Covered Entities – Community Health Center
Registrations for STD/TB Clinics	340BRegistration-Covered Entities STD-Revised 340BRegistration-Covered Entities TB-Revised
Pharmaceutical Pricing Agreement Addendum	PPA Addendum form