Information Collection Request

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

ICR 202511-0938-002 · OMB 0938-1485 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10930 340B Repository Data Elements Reporting Example Form Form Modified Available
Form CMS-10930 Voluntary 340B Repository Data Element Reporting Requirements Form Modified Available
RWC Comments on OMB IRA Collection 4904-4505-7155 v.3.pdf Public Comments Uploaded 2025-12-20 Available
PC_202511-0938-002_122025_014623_1.pdf Public Comments Uploaded 2025-12-20 Repair queued
Response to Public Comments_10.31.25 508.pdf Supplementary Document Uploaded 2025-11-21 Available
Response to Public Comments_10.31.25 508.pdf Supplementary Document Uploaded 2025-11-21 Missing upstream
CMS-10930- Supporting Statement A_(CMS-1832-F version 14).docx Supporting Statement A Uploaded 2025-11-21 Available
CMS-10930- Supporting Statement A_(CMS-1832-F version 14).docx Supporting Statement A Uploaded 2025-11-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
276684 Voluntary 340B Repository Data Element Reporting Requirements Instruction Modified
276684 Voluntary 340B Repository Data Element Reporting Requirements Form Modified340B Repository Data Elements Reporting Example Form
276684 Voluntary 340B Repository Data Element Reporting Requirements Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2028 36 Months From Approved
10,400 0 0
83,200 0 0
0 0 0





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

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 10,400 0 0 10,400 0 0
Annual Time Burden (Hours) 83,200 0 0 83,200 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No