Information Collection Request

CMS Medicare Part D E-Prescribing Tools in 42 CFR 423.128(d)(1) and 423.160 (CMS-10755)

ICR 202103-0938-015 · OMB 0938-1396 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10755 - Supporting Statement A (2021 Version 3 for CMS-4189-P).docx Supporting Statement A Uploaded 2021-03-17 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
246280 Secure Electronic Prior Authorization for Medicare Part D New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Secure Electronic Prior Authorization for Medicare Part D



Reginfo record details
  No