Federal Agency Retail Pharmacy Program

ICR 201908-0720-004

OMB: 0720-0032

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2019-08-29
IC Document Collections
IC ID
Document
Title
Status
5612 Modified
ICR Details
0720-0032 201908-0720-004
Active 201606-0720-001
DOD/DODOASHA
Federal Agency Retail Pharmacy Program
Extension without change of a currently approved collection   No
Regular
Approved without change 10/16/2019
Retrieve Notice of Action (NOA) 08/29/2019
  Inventory as of this Action Requested Previously Approved
10/31/2022 36 Months From Approved 10/31/2019
1,200 0 1,200
9,600 0 9,600
384,480 0 403,968

DoD is extending information collections requirements under current OMB Control Number 0720-0032. Pharmaceutical manufacturers will base refund calculation on difference between average non-Federal price of drug sold by pharmaceutical manufacturer to wholesalers, represented by most recent annual non-Federal average manufacturing prices (non-FAMP) and corresponding Federal Ceiling Price (FCP) or, at discretion of pharmaceutical manufacturer, difference between FCP and direct commercial contract sales price attributable to applicable National Drug Code.

US Code: 10 USC 1074g(f) Name of Law: Pharmacy benefits program
  
None

Not associated with rulemaking

  84 FR 26822 06/10/2019
84 FR 45474 08/29/2019
No

1
IC Title Form No. Form Name
Federal Agency Retail Pharmacy Program

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,200 1,200 0 0 0 0
Annual Time Burden (Hours) 9,600 9,600 0 0 0 0
Annual Cost Burden (Dollars) 384,480 403,968 0 -19,488 0 0
No
No

$1,067,616
No
    No
    No
No
No
No
Uncollected
Kira Starks 571 372-4529 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/29/2019


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