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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Summary of Responses to Public Comment on OMB No. 0915-0176 (CLEAN 05192016).xlsx Other-Summary of Public Comments

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.