Information Collection Request

340B Drug Pricing Program Reporting Requirements

ICR 201909-0915-002 · OMB 0915-0176 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
phsactsection340b.pdf Supplementary Document Uploaded 2019-09-11 Available
manufacturerauditclarification112111.pdf Supplementary Document Uploaded 2019-09-11 Available
disputeresolutionprocess121296.pdf Supplementary Document Uploaded 2019-09-11 Available
201960day.pdf Supplementary Document Uploaded 2019-09-11 Available
FINALSupporting Statement A 08212019 CLEAN.docx Supporting Statement A Uploaded 2019-09-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6404 Drug Pricing Program Reporting Requirements Other-Process Documentation Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2022 36 Months From Approved 11/30/2019
117 0 50
2,440 0 1,948
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Drug Pricing Program Reporting Requirements

table that charts list of burden
  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 117 50 0 67 0 0
Annual Time Burden (Hours) 2,440 1,948 0 492 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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  No