Information Collection Request
Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments (CMS-10174) - IRA
ICR 202403-0938-002 · OMB 0938-0982 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10174 - Supporting Statement A_.docx |
Supporting Statement A | Uploaded 2024-03-05 | Repair queued |
 Crosswalk CMS-10174_11-2023 (003).pdf |
Supplementary Document | Uploaded 2024-03-01 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 43675 |  Collection of Drug Event Data from Contracted Part D Providers For Payments |
Instruction | Modified | |
| 261111 | Expansion of the PDE File Layout and Addition of New PDE Fields (New) |
Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0982 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202306-0938-007 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |