Manufacturer Data Required to Verify 340 B Ceiling Price Calculations

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: 216088

Information Collection (IC) Details

View Information Collection (IC)

Manufacturer Data Required to Verify 340 B Ceiling Price Calculations
 
No Unchanged
 
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 Manufacturer Data Fields for 340B Ceiling Price - FINAL VERSION Manufacturer Data Fields for 340B Ceiling Price-FINAL VERSION.docx Yes Yes Fillable Fileable

Health Health Care Services

 

600 210
   
Private Sector 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 2,400 0 0 0 0 2,400
Annual IC Time Burden (Hours) 1,200 0 0 0 0 1,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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