Expansion of the PDE File Layout and Addition of New PDE Fields (New)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0982 can be found here:

Documents and Forms

Document Name Document Type
New 2025 Prescription Drug Event (PDE) File Layouts (FINAL).pdf Instruction
New 2025 Prescription Drug Event (PDE) File Layouts (FINAL).pdf Instruction

Information Collection (IC) Details

IC Title:	Expansion of the PDE File Layout and Addition of New PDE Fields (New)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			New 2025 Prescription Drug Event (PDE) File Layouts (FINAL).pdf		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 856	Number of Respondents for Small Entity: 149

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	856	856
Annual IC Time Burden (Hours)	59,920	59,920
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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