Information Collection Request

Medicare Part D Manufacturer Discount Program Agreement - IRA (CMS-10846)

ICR 202509-0938-022 · OMB 0938-1451 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10846 TPA Data Entry Fields Form and Instruction Modified Available
Form CMS-10846 HPMS Data Entry Fields Form and Instruction Modified Available
Form CMS-10846 Part D Manufacturer Discount Program Form and Instruction Modified Repair queued
CMS-10846_Supporting Statement Part A_.docx Supporting Statement A Uploaded 2025-09-30 Available
CMS-10846_Supporting Statement Part A_.docx Supporting Statement A Uploaded 2025-09-30 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
260984 Part D Manufacturer Discount Program Form and Instruction ModifiedTPA Data Entry Fields
260984 Part D Manufacturer Discount Program Form and Instruction ModifiedHPMS Data Entry Fields
260984 Part D Manufacturer Discount Program Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2028 36 Months From Approved 12/31/2025
40 0 659
320 0 4,613
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Part D Manufacturer Discount Program CMS-10846, CMS-10846 ,  

table that charts list of burden
  Total Approved 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 40 659 0 0 -619 0
Annual Time Burden (Hours) 320 4,613 0 0 -4,293 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No