Information Collection Request

Rebate Reduction Requests underSections 11101 and 11102 of the Inflation Reduction Act (CMS-10858) - IRA

ICR 202407-0938-012 · OMB 0938-1474 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10858 Rebate Reduction Extension Request Form Form and Instruction Modified Repair queued
Form CMS-10858 Rebate Reduction Request Form Form and Instruction Modified Repair queued
0938-1474 Non Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-19 Repair queued
Final clean Rebate Reduction Requests ICR SS.docx Supporting Statement A Uploaded 2024-07-19 Repair queued
Final clean Rebate Reduction Requests ICR Comment Summary Responses_clean.docx Supplementary Document Uploaded 2024-07-19 Repair queued
Rebate Reduction Requests ICR 30 Day to Final Cross Walk.docx Supplementary Document Uploaded 2024-07-19 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
268249 Rebate Reduction Extension Request Form Form and Instruction Modified
268246 Rebate Reduction Request Form Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
07/31/2027 07/31/2027
20 20
620 620
0 0





table that charts list of burden
  Total Request 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 20 20 0 0 0 0
Annual Time Burden (Hours) 620 620 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No