Collection of Drug Event Data from Contracted Part D Providers For Payments (CMS-10174)

Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments (CMS-10174)

OMB: 0938-0982

IC ID: 43675

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Collection of Drug Event Data from Contracted Part D Providers For Payments (CMS-10174)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction PDEGuidance_PRA Disclosure Statement.pdf Yes No Printable Only
Instruction PDE Inbound File Layout.pdf Yes Yes Printable Only

Health Health Care Services

 

856 149
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Requested 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 1,499,966,503 0 0 728,413 0 1,499,238,090
Annual IC Time Burden (Hours) 3,000 0 0 2 0 2,998
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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