Prescription Drug and Health Care Spending (CMS-10788)

OMB: 0938-1405

IC ID: 250524

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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability



  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
Annual IC Time Burden (Hours)
Annual IC Cost Burden (Dollars)

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

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