Information Collection Request

Reciprocal Switching for Inadequate Service

ICR 202404-2140-001 · OMB 2140-0044 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
2140-0044 Supporting Statement - Reciprocal Switching Agreement (EP 711) (to ROCIS).pdf Supporting Statement A Uploaded 2024-05-07 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
263563 Petition to Terminate Prescription Unchanged
263562 Petition for Prescription of Reciprocal Switching Unchanged
263561 Request and Response to Individualized Service Data Modified
263560 Reciprocal Switching Weekly Reporting Unchanged
263558 One-time Update to Data Collection Software Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2027 36 Months From Approved
341 0 0
4,640 0 0
0 0 0





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 341 0 0 341 0 0
Annual Time Burden (Hours) 4,640 0 0 4,640 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No