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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 261111 under ICR 202403-0938-002 · OMB 0938-0982.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Expansion of the PDE File Layout and Addition of New PDE Fields (New)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction New_2025_Prescription_Drug_Event_File_Layouts_FINAL_G.pdf Yes No Printable Only

Health Health Care Services

 

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

  Approved 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 856 0 0 0 0 856
Annual IC Time Burden (Hours) 59,920 0 0 0 0 59,920
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
New 2025 Prescription Drug Event (PDE) Final File Layouts Field Updates New 2025 Prescription Drug Event (PDE) Final File Layouts_Field Updates_Q4-2023_508.pdf 03/01/2024
New 2025 Prescription Drug Event (PDE) Final File Layouts_Seeking Feedback New 2025 Prescription Drug Event (PDE) File Layouts (Draft)_508.pdf 03/01/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.