Information Collection Request
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110) - IRA
ICR 202405-0938-015 · OMB 0938-0921 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0921 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10110_Supporting_Statement_A.docx |
Supporting Statement A | Uploaded 2024-05-14 | Repair queued |
 Crosswalk Document for CMS 10110 -20240130.pdf |
Supplementary Document | Uploaded 2024-05-14 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 8767 |  Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110) |
Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0921 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202304-0938-010 |
| Agency Tracking No | CM-FFS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |