DDR Monthly Pricing Data Specifications (CMS-367b)

Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 (CMS-367)

OMB: 0938-0578

IC ID: 222505

Information Collection (IC) Details

View Information Collection (IC)

DDR Monthly Pricing Data Specifications (CMS-367b)
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-367 - Instructions to Labelers -CLEAN - updated 4_21_16.docx Yes Yes Fillable Fileable
Form CMS-367b DDR Monthly Pricing Data Specifications DDR Screenshots for CMS-367a_b_c_CLEAN_updated_7.12.16.docx Yes Yes Fillable Fileable

Health Health Care Services

 

610 0
   
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 7,320 0 7,320 0 0 0
Annual IC Time Burden (Hours) 327,936 0 327,936 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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