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
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
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
0915-0327 202601-0915-001
Received in OIRA 202208-0915-001
HHS/HSA 20345
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
Revision of a currently approved collection   No
Regular 01/12/2026
  Requested Previously Approved
36 Months From Approved 04/30/2026
141,651 109,982
75,448 59,359
0 0

Section 602 of Public Law 102–585, the Veterans Health Care Act of 1992, enacted section 340B of the Public Health Service (PHS) Act, which instructs HHS to enter into a Pharmaceutical Pricing Agreement (PPA) with manufacturers of covered outpatient drugs. Manufacturers are required by section 1927(a)(5)(A) of the Social Security Act to enter into agreements with the Secretary of HHS (Secretary) that comply with section 340B of the PHS Act if they participate in the Medicaid Drug Rebate Program. When a drug manufacturer signs a PPA, it is opting into the 340B Drug Pricing Program (340B Program), and it agrees to the statutory requirement that prices charged for covered outpatient drugs to covered entities will not exceed statutorily defined 340B ceiling prices. When an eligible covered entity voluntarily decides to enroll and participate in the 340B Program, it accepts responsibility for ensuring compliance with all provisions of the 340B Program, including all associated costs. Covered entities that choose to participate in the 340B Program must comply with the requirements of section 340B(a)(5) of the PHS Act. Section 340B(a)(5)(A) of the PHS Act prohibits a covered entity from accepting a discount for a drug that would also generate a Medicaid rebate. Further, section 340B(a)(5)(B) of the PHS Act prohibits a covered entity from reselling or otherwise transferring a discounted drug to a person who is not a patient of the covered entity.

US Code: 42 USC 256b Name of Law: SUBPART VII—DRUG PRICING AGREEMENTS
   PL: Pub.L. 102 - 585 601-602 Name of Law: Veterans Health Care Act of 1992
  
None

Not associated with rulemaking

  90 FR 38167 08/07/2025
91 FR 714 01/08/2026
Yes

7
IC Title Form No. Form Name
Contracted Pharmacy Services Registration and Recertifications 3.1, 3.2 Contract Pharmacy Registration.pdf ,   Contract Pharmacy Termination.pdf
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 340B Registration DSH Parent.pdf ,   340B Registration Children's Hospital.pdf ,   340B Registration CAN Parent.pdf ,   340B Registration Hospital Outpatient Facility.pdf ,   340B Registration RRC and SCH Parent.pdf ,   340B Registration CAH Parent.pdf ,   340B Recertification DSH.pdf ,   340B Recertification SCH and RRC.pdf ,   340B Recertification Childrens Hospital.pdf ,   340B Recertification CAH.pdf ,   340B Recertification CAN.pdf
Manufacturer Data Required to Verify 340 B Ceiling Price 7 Manufacturer Data Fields for 340B Ceiling Price.pdf
Pharmaceutical Pricing Agreement and PPA Addendum 6 Manufacturer PPA.pdf
Registrations and Recertifications for Entities other than Hospitals 2.1, 2.2, 2.3, 2.4, 2.5, 2.6 340B Registration CHC and FQHCLA.pdf ,   340B Registration STD and TB.pdf ,   340B Registration-Covered Entities All Other Non-Hospitals.pdf ,   340B Recertfication STD and TB.pdf ,   340B Recertification CHC and FQHCLA.pdf ,   340B Recertification Covered Entities All Other Non-Hospital..pdf
Submission of Administrative Changes for Any Manufacturer 5 340B Manufacturer Change Form.pdf
Submission of Administrative Changes for any Covered Entities 4 340B Covered Entity Change Request.pdf

  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
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Currently, there are 59,359 reporting and record keeping burden hours in the OMB inventory. HRSA is requesting 75,448 burden hours, an increase of 16,089 hours. This increase is due to an increase average burden hours per response for the “340B Registrations for STD/TB Clinics Form” and the “340B Registrations for Various Other Entity Types Form.” There was a small decline in burden in the "PPA and Addendum" form, which occurred because the number of respondents declined, as opposed to a change in average burden to the manufacturers.

$4,611,195
No
    No
    No
Yes
No
No
No
Laura Cooper 301 443-2126 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/12/2026