Information Collection

Manufacturer Data Required to Verify 340 B Ceiling Price

IC 216088 under ICR 201908-0915-001 · OMB 0915-0327.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0327 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7 Manufacturer Data Required to Verify 340 B Ceiling Price	Form
7 Manufacturer Data Fields for 340B Ceiling Price.pdf Manufacturer Data Fields for 340B Ceiling Price..pdf	Form
Manufacturer Data Fields for 340B Ceiling Price.docx REDLINE Manufacturer Data Fields for 340B Ceiling Price	IC Document

IC Title:

Manufacturer Data Required to Verify 340 B Ceiling Price

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	7	Manufacturer Data Fields for 340B Ceiling Price.pdf	Manufacturer Data Fields for 340B Ceiling Price..pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 210

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,400	2,400
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
REDLINE Manufacturer Data Fields for 340B Ceiling Price	Manufacturer Data Fields for 340B Ceiling Price.docx	08/12/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.