Information Collection Request

Drug Price Negotiation for Initial Price Applicability Year 20XX under Sections 11001 and 11002 of the Inflation Reduction Act (IRA) - (CMS-10849)

ICR 202606-0938-003 · OMB 0938-1452 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10849 Negotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form Form and Instruction New Repair queued
Form CMS-10849 Negotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form Form and Instruction New Available
Form CMS-10849 Negotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form Form and Instruction Modified Repair queued
Form CMS-10849 Negotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form Form and Instruction Modified Available
Form CMS-10849 Negotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form Form and Instruction Modified Repair queued
Form CMS-10849 Negotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form Form and Instruction Modified Available
Form CMS-10849 Negotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form Form and Instruction Modified Repair queued
Form CMS-10849 Negotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form Form and Instruction Modified Available
CMS-10849 Initial Price Applicability Year (20XX) 60-day Drug Price Negotiation ICR Supporting Statement.docx Supporting Statement A Uploaded 2026-06-16 Repair queued
CMS-10849 Initial Price Applicability Year (20XX) 60-day Drug Price Negotiation ICR Supporting Statement.docx Supporting Statement A Uploaded 2026-06-16 Available
CMS-10849 Initial Price Applicability Year 2028 to Proposed 60-day Drug Price Negotiation ICR Crosswalk of Proposed Revisions_wo.docx Supplementary Document Uploaded 2026-06-05 Repair queued
CMS-10849 Initial Price Applicability Year 2028 to Proposed 60-day Drug Price Negotiation ICR Crosswalk of Proposed Revisions_wo.docx Supplementary Document Uploaded 2026-06-05 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
280785 Negotiation Data Elements ICR Form - Temporary Floor for Small Biotech Drugs ICR Form Form and Instruction NewNegotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form
280785 Negotiation Data Elements ICR Form - Temporary Floor for Small Biotech Drugs ICR Form Form and Instruction NewNegotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form
278115 Negotiation Data Elements ICR Form - Selected Drugs for Renegotiation Form and Instruction ModifiedNegotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form
278115 Negotiation Data Elements ICR Form - Selected Drugs for Renegotiation Form and Instruction ModifiedNegotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form
272617 Negotiation Data Elements ICR Form - Selected Drugs for Negotiation Form and Instruction ModifiedNegotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form
272617 Negotiation Data Elements ICR Form - Selected Drugs for Negotiation Form and Instruction ModifiedNegotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form
261204 Counteroffer ICR Form Form and Instruction ModifiedNegotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form
261204 Counteroffer ICR Form Form and Instruction ModifiedNegotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2028 36 Months From Approved 01/31/2028
405 0 405
47,620 0 47,620
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Counteroffer ICR Form CMS-10849
Negotiation Data Elements ICR Form - Selected Drugs for Negotiation CMS-10849
Negotiation Data Elements ICR Form - Selected Drugs for Renegotiation CMS-10849
Negotiation Data Elements ICR Form - Temporary Floor for Small Biotech Drugs ICR Form CMS-10849



Reginfo record details
  No