Information Collection Request
Part D Drug Management Program (CMS-10874)
ICR 202312-0938-003 · OMB 0938-1465 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1465 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10874 Part D Drug Management Program |
Form | New | Repair queued |
 CMS 10874 Supporting Statement A (CMS-4205-P version 5).docx |
Supporting Statement A | Uploaded 2024-01-12 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 264405 |  Part D Drug Management Program |
Form | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1465 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | CM CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |