340B Program Registrations amp; Certifications for Sole Community Hospitals

Enrollment and Re-Certification of Entities in the 340B Drug Pricing Program and Collection of Manufacturer Data to Verify 340B Drug Pricing Program Ceiling Price Calculations

OMB: 0915-0327

IC ID: 203463

Information Collection (IC) Details

View Information Collection (IC)

340B Program Registrations amp; Certifications for Sole Community Hospitals
 
No Removed
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 340B Registration Rural Referral and Sole Community Hospitals (Orphan Drug)-REVISED 340B Registration Rural Referral and Sole Community Hospitals (Orphan Drug)-REVISED.docx Yes Yes Fillable Fileable

Health Health Care Services

 

30 15
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 0 0 0 -30 0 30
Annual IC Time Burden (Hours) 0 0 0 -60 0 60
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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