Federal Agency Retail Pharmacy Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0720-0032 can be found here:

Documents and Forms

Document Name Document Type
PHP MFR Screenshots_Redacted - with placeholder.pdf Other-Online system

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Federal Agency Retail Pharmacy Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 32 CFR 199

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online system			PHP MFR Screenshots_Redacted - with placeholder.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,200	0	1,200
Annual IC Time Burden (Hours)	9,600	0	9,600
Annual IC Cost Burden (Dollars)	384,480	-19,488	403,968

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.