Information Collection Request

Negotiation Data Elements under Sections 11001 and 11002 of the Inflation Reduction Act (CMS-10847)

ICR 202306-0938-013 · OMB 0938-1449 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10847 Negotiation Data Elements Form Form and Instruction New Available
Form CMS-10847 General Public (individual and organization) Form and Instruction New Repair queued
Form CMS-10847 Negotiation Data Elements Form Form and Instruction New Available
Form CMS-10847 Primary Manufacturers Form and Instruction New Repair queued
Final clean 60 Day Data Elements Comment Summary Responses.docx Supplementary Document Uploaded 2023-06-29 Repair queued
60 to 30 Day Data Elements Cross Walk_508 FINAL.pdf Supplementary Document Uploaded 2023-06-29 Repair queued
CMS-10847_Negotiation Data Elements Supporting Statement.docx Supporting Statement A Uploaded 2023-06-29 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
260900 General Public (individual and organization) Form and Instruction NewNegotiation Data Elements Form
260900 General Public (individual and organization) Form and Instruction New
260899 Primary Manufacturers Form and Instruction NewNegotiation Data Elements Form
260899 Primary Manufacturers Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2024 36 Months From Approved
3,310 0 0
17,000 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
General Public (individual and organization) CMS-10847
Primary Manufacturers CMS-10847

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 3,310 0 3,310 0 0 0
Annual Time Burden (Hours) 17,000 0 17,000 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No