Information Collection

Drug Pricing Program Reporting Requirements

IC 6404 under ICR 201605-0915-003 · OMB 0915-0176.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0176 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Summary of Responses to Public Comment on OMB No. 0915-0176 (CLEAN 05192016).xlsx	Other-Summary of Public Comments

IC Title:

Drug Pricing Program Reporting Requirements

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Summary of Public Comments			Summary of Responses to Public Comment on OMB No. 0915-0176 (CLEAN 05192016).xlsx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50	0	50
Annual IC Time Burden (Hours)	1,948	760	1,188
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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