National Average Drug Acquisition Cost (NADAC) Survey

Survey of Retail Prices (CMS-10241)

OMB: 0938-1041

IC ID: 201423

Information Collection (IC) Details

View Information Collection (IC)

National Average Drug Acquisition Cost (NADAC) Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Dear_Pharmacy_Letter (rev 05-21-2018 by OSORA PRA).pdf Yes No Fillable Printable
Form and Instruction CMS-10241 National Average Drug Acquisition Cost (NADAC) Survey Request for Information Survey Tool (rev 05-21-2018 by OSORA PRA).pdf Yes Yes Fillable Printable

Health Health Care Services

 

30,000 8,760
   
Private Sector Businesses or other for-profits
 
   70 %

  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 30,000 0 0 0 0 30,000
Annual IC Time Burden (Hours) 15,000 0 0 0 0 15,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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