Information Collection Request

340B Rebate Model Pilot Program Application, Implementation, and Evaluation

ICR 202606-0906-001 · OMB unassigned · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 340B Rebate Model Pilot Program Manufacturer Data Fields (Example) Form New Available
Form 1 340B Rebate Model Pilot Program Manufacturer Data Fields (Example) Form New Available
Consolidated Comments_Group 9.pdf Public Comments Uploaded 2026-02-26 Available
Consolidated Comments_Group 8.pdf Public Comments Uploaded 2026-02-26 Available
Consolidated Comments_Group 7.pdf Public Comments Uploaded 2026-02-26 Available
Consolidated Comments_Group 6.pdf Public Comments Uploaded 2026-02-26 Available
Consolidated Comments_Group 5.pdf Public Comments Uploaded 2026-02-26 Available
Consolidated Comments_Group 4.pdf Public Comments Uploaded 2026-02-26 Available
Consolidated Comments_Group 3.pdf Public Comments Uploaded 2026-02-26 Available
Consolidated Comments_Group 2.pdf Public Comments Uploaded 2026-02-26 Available
Consolidated Comments_Group 1.pdf Public Comments Uploaded 2026-02-26 Available
340B Comment Index.xlsx Supplementary Document Uploaded 2026-06-15 Available
163. HealthLinc_OMB_ICR 04.27.26.pdf Public Comments Uploaded 2026-04-27 Available
146. Family Health Care Comments 04.27.2026.pdf Public Comments Uploaded 2026-04-27 Available
133. PIHC 340B ICR FRN Comments Final 04.27.2026.pdf Public Comments Uploaded 2026-04-27 Available
131. Kalderos - Response to ICR on 340B Rebate Model Pilot 04.27.2026.pdf Public Comments Uploaded 2026-04-27 Available
118. UVA_Draft_ICR_ 04.27.2026.pdf Public Comments Uploaded 2026-04-27 Available
113a. Attachment for Santa Clara Valley Healthcare Comment on ICR - OMB 04.27.2026.pdf Public Comments Uploaded 2026-04-27 Available
113. Santa Clara Valley Healthcare Comment on ICR - OMB 04.27.2026.pdf Public Comments Uploaded 2026-04-27 Available
70. 340B-Rebate-Model-Pilot-ICR_CHDI_04.26.2026.pdf Public Comments Uploaded 2026-04-26 Available
53. UW Medicine HRSA Rebate Model ICR Response Draft 04.22.26.pdf Public Comments Uploaded 2026-04-22 Available
52. PrimeCare Community Health Inc. 340B Rebate Model Pilot ICR_04.24.2027.pdf Public Comments Uploaded 2026-04-24 Available
42. UCHC 340B Rebate Model Pilot 04.24.2026.pdf Public Comments Uploaded 2026-04-21 Available
22. 340B Rebate Model Pilot-ICR_Venice Family Clinic_04.21.2026.pdf Public Comments Uploaded 2026-04-20 Available
Supporting Statement A - OPA - 340B Rebate Model Pilot - 0906-NEW 06.15.2026.docx Supporting Statement A Uploaded 2026-06-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
280967 Manufacturers: 340B Program Rebate Model Pilot Program Plan Submission & Monthly Purchase Reports Form New340B Rebate Model Pilot Program Manufacturer Data Fields (Example)
280966 Covered Entities: Reporting Claims Data to Third Party Platform Form New340B Rebate Model Pilot Program Manufacturer Data Fields (Example)

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
793,091 0
3,965,092 0
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Covered Entities: Reporting Claims Data to Third Party Platform 1
Manufacturers: 340B Program Rebate Model Pilot Program Plan Submission & Monthly Purchase Reports 1

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 793,091 0 0 793,091 0 0
Annual Time Burden (Hours) 3,965,092 0 0 3,965,092 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No