Information Collection

AUR Pharmacy Data Electronic Upload Specification Tables (Initial Set-up)

IC 272026 under ICR 202410-0920-013 · OMB 0920-0666.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 57.124 AUR Pharmacy Data Electronic Upload Specification Tables (Initial Set-up)	Form
57.124 Initial Set-up (form not used) 57.124 Initial Set-up.docx	Form
57.124 Initial Set-up (form not used) 57.124 Initial Set-up.docx	Form
57.124 (AUR)-Pharmacy Data Electronic Upload Specification Tables-Clean Version.docx Form Information only	IC Document
57.124 (AUR)-Pharmacy Data Electronic Upload Specification Tables-Clean Version.docx Form Information only	IC Document

IC Title:

AUR Pharmacy Data Electronic Upload Specification Tables (Initial Set-up)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	57.124	Initial Set-up (form not used)	57.124 Initial Set-up.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	60,000	60,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form Information only	57.124 (AUR)-Pharmacy Data Electronic Upload Specification Tables-Clean Version.docx	11/04/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.