Information Collection

AUR Pharmacy Data Electronic Upload Specification Tables (Yearly Maintenance)

IC 272027 under ICR 202412-0920-019 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 57.124 AUR Pharmacy Data Electronic Upload Specification Tables (Yearly Maintenance) Form
57.124 Yearly Maintenance (form not used) 57.124 Yearly Maintenance.docx Form
57.124 (AUR)-Pharmacy Data Electronic Upload Specification Tables-Clean Version.docx Form Information only IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	AUR Pharmacy Data Electronic Upload Specification Tables (Yearly Maintenance)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	57.124	Yearly Maintenance (form not used)	57.124 Yearly Maintenance.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	8,000	8,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.