Crosswalk: 340B Repository Data Elements Reporting Example Form

Crosswalk: 340B Repository Data Elements Reporting Example Form

This Crosswalk identifies the changes that were made subsequent to the publication of our July 16, 2025 (90 FR 32352) proposed rule’s (CMS-1832-P, OMB 0938-AV50) collection of information request.

The changes are in our November 5, 2025 (90 FR 49266) final rule’s (CMS-1832-F, OMB 0938-AV50) collection of information request.

Location of Edits	Summary of Changes	Type of Change	Explanation of Changes	Burden Change (Yes/No)
Form Title	Clarification to the title of the form to include the word “Example” to clarify for respondents that the submission format for data elements will be forthcoming and the layout of the attached example form is for illustrative purposes.	Modify	Technical Updates	No
Form Title	Removed the term “Appendix A” from the form title.	Modify	Technical Updates	No