Information Collection Request

Enrollment and Re-Certification of Entities in the 340B Drug Pricing Program and Collection of Manufacturer Data to Verify 340B Drug Pricing Program Ceiling Price Calculations

ICR 202601-0915-001 · OMB 0915-0327 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 6 Manufacturer PPA.pdf Form Modified Available
Form 7 Manufacturer Data Fields for 340B Ceiling Price.pdf Form Modified Available
Form 5 340B Manufacturer Change Form.pdf Form Modified Available
Form 4 340B Covered Entity Change Request.pdf Form Modified Available
Form 3.2 Contract Pharmacy Termination.pdf Form Modified Available
Form 3.1 Contract Pharmacy Registration.pdf Form Modified Available
Form 2.6 340B Recertification Covered Entities All Other Non-Hospital..pdf Form Modified Available
Form 2.5 340B Recertification CHC and FQHCLA.pdf Form Modified Available
Form 2.4 340B Recertfication STD and TB.pdf Form Modified Available
Form 2.3 340B Registration-Covered Entities All Other Non-Hospitals.pdf Form Modified Available
Form 2.2 340B Registration STD and TB.pdf Form Modified Available
Form 2.1 340B Registration CHC and FQHCLA.pdf Form Modified Available
Form 1.11 340B Recertification CAN.pdf Form Modified Available
Form 1.10 340B Recertification CAH.pdf Form Modified Available
Form 1.9 340B Recertification Childrens Hospital.pdf Form Modified Available
Form 1.8 340B Recertification SCH and RRC.pdf Form Modified Available
Form 1.7 340B Recertification DSH.pdf Form Modified Available
Form 1.6 340B Registration CAH Parent.pdf Form Modified Available
Form 1.5 340B Registration RRC and SCH Parent.pdf Form Modified Available
Form 1.4 340B Registration Hospital Outpatient Facility.pdf Form Modified Available
Form 1.3 340B Registration CAN Parent.pdf Form Modified Available
Form 1.2 340B Registration Children's Hospital.pdf Form Modified Repair queued
Form 1.1 340B Registration DSH Parent.pdf Form Modified Available
Comment 16_Calkins_BIO (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 16_Calkins_BIO_Transmittal (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 15_Pang_NCSDDC (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 15_Pang_NCSDDC_Transmittal (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 14_Swartz_340B Health (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 14_Swartz_340B Health_Transmittal (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 13_Roland_Powers RWC_Letter (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 13_Roland_Powers RWC_Transmittal (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 12_Santo_J&J (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 12_Santo_J&J_Transmittal (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 11_Dolhoff_BUH (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 11_Dolhoff_BUH_Transmittal (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 10_Dumpit_CSCHS_Letter (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 10_Dumpit_CSCHS_Transmittal (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 9_Asay_Eli Lily_Transmittal (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 9_Asay_Eli Lily (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 8_Nielsen_Venn_Transmittal (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 8_Nielsen_Venn (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 7_Helling_UCB Inc_Transmittal (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 7_Helling_UCB Inc (10.06.2025).pdf Public Comments Uploaded 2025-10-06 Available
Comment 6_Yeh_Gilead_Transmittal (10.05.2025).pdf Public Comments Uploaded 2025-10-05 Available
Comment 6_Yeh_Gilead (10.05.2025).pdf Public Comments Uploaded 2025-10-05 Available
Comment 5_Lee_NASTAD (09.24.2025).pdf Public Comments Uploaded 2025-09-24 Available
Comment 5_Lee_NASTAD_Transmittal (09.24.2025).pdf Public Comments Uploaded 2025-09-24 Available
Comment 4_Wilson_UMN (09.22.2025).pdf Public Comments Uploaded 2025-09-22 Available
Comment 3_Stalks_ABAMA_Transmittal (09.18.2025).pdf Public Comments Uploaded 2025-09-18 Available
Comment 3_Stalks_ABAMA_Letter (09.18.2025).pdf Public Comments Uploaded 2025-09-18 Available
Comment 2_Lynkiewicz_HIV HEP_Transmittal_0915-0327_09052025.pdf Public Comments Uploaded 2025-09-05 Available
Comment 2_Lynkiewicz_HIV HEP_0915-0327_09052025.pdf Public Comments Uploaded 2025-09-05 Available
Comment 1_Wilson_UKY_0915-0327_08152025.pdf Public Comments Uploaded 2025-08-15 Available
Summary of Responses to 60 Day Public Comment on OMB No 0915-0327 15Dec2025.xlsx Supplementary Document Uploaded 2026-01-08 Available
Supporting Statement A-OSHI OPA-0915-0327-340B Drug Pricing Program-Revision 01092026.docx Supporting Statement A Uploaded 2026-01-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
221302 Pharmaceutical Pricing Agreement and PPA Addendum Form ModifiedManufacturer PPA.pdf
216088 Manufacturer Data Required to Verify 340 B Ceiling Price Form ModifiedManufacturer Data Fields for 340B Ceiling Price.pdf
203460 Submission of Administrative Changes for Any Manufacturer Form Modified340B Manufacturer Change Form.pdf
190353 Submission of Administrative Changes for any Covered Entities Form Modified340B Covered Entity Change Request.pdf
190348 Contracted Pharmacy Services Registration and Recertifications Form ModifiedContract Pharmacy Termination.pdf
190348 Contracted Pharmacy Services Registration and Recertifications Form ModifiedContract Pharmacy Registration.pdf
190347 Registrations and Recertifications for Entities other than Hospitals Form Modified340B Recertification Covered Entities All Other Non-Hospital..pdf
190347 Registrations and Recertifications for Entities other than Hospitals Form Modified340B Recertification CHC and FQHCLA.pdf
190347 Registrations and Recertifications for Entities other than Hospitals Form Modified340B Recertfication STD and TB.pdf
190347 Registrations and Recertifications for Entities other than Hospitals Form Modified340B Registration-Covered Entities All Other Non-Hospitals.pdf
190347 Registrations and Recertifications for Entities other than Hospitals Form Modified340B Registration STD and TB.pdf
190347 Registrations and Recertifications for Entities other than Hospitals Form Modified340B Registration CHC and FQHCLA.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Recertification CAN.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Recertification CAH.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Recertification Childrens Hospital.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Recertification SCH and RRC.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Recertification DSH.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Registration CAH Parent.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Registration RRC and SCH Parent.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Registration Hospital Outpatient Facility.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Registration CAN Parent.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Registration Children's Hospital.pdf
190345 Hospital Enrollment, Additions and Recertifcations Form Modified340B Registration DSH Parent.pdf

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2026
141,651 109,982
75,448 59,359
0 0





Reginfo record details
7
table that charts list of burden
IC Title Form No. Form Name
Contracted Pharmacy Services Registration and Recertifications 3.1, 3.2 ,  
Hospital Enrollment, Additions and Recertifcations 1.1, 1.2, 1.4, 1.3, 1.5, 1.6, 1.10, 1.11, 1.8, 1.7, 1.9 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
Manufacturer Data Required to Verify 340 B Ceiling Price 7
Pharmaceutical Pricing Agreement and PPA Addendum 6
Registrations and Recertifications for Entities other than Hospitals 2.1, 2.2, 2.3, 2.4, 2.5, 2.6 ,   ,   ,   ,   ,  
Submission of Administrative Changes for Any Manufacturer 5
Submission of Administrative Changes for any Covered Entities 4

table that charts list of burden
  Total Request 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 141,651 109,982 0 31,669 0 0
Annual Time Burden (Hours) 75,448 59,359 0 16,089 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No