Information Collection Request

Medicare Prescription Drug Inflation Rebate Program: Sections 11101 and 11102 of the Inflation Reduction Act (IRA) (CMS-10930)

ICR 202507-0938-024 · OMB 0938-1485 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10930 340B Repository Data Element Reporting Form Form New Available
Form CMS-10930 Voluntary 340B Repository Data Element Reporting Requirements Form New Repair queued
CMS-10930 - Supporting Statement A (CMS-1832-P version 1+).docx Supporting Statement A Uploaded 2025-07-24 Available
CMS-10930 - Supporting Statement A (CMS-1832-P version 1+).docx Supporting Statement A Uploaded 2025-07-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
276684 Voluntary 340B Repository Data Element Reporting Requirements Form New340B Repository Data Element Reporting Form
276684 Voluntary 340B Repository Data Element Reporting Requirements Form New
276684 Voluntary 340B Repository Data Element Reporting Requirements Instruction New

ICR Details

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  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0





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1
table that charts list of burden
IC Title Form No. Form Name
Voluntary 340B Repository Data Element Reporting Requirements CMS-10930



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