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Manufacturer Data Required to Verify 340 B Ceiling Price

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

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Manufacturer Data Required to Verify 340 B Ceiling Price
 
No Modified
 
Required to Obtain or Retain Benefits
 

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

Health Health Care Services

 

600 210
   
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 2,400 0 0 0 0 2,400
Annual IC Time Burden (Hours) 1,200 0 0 0 0 1,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.