Information Collection

Biosimilar Delay

IC 271326 under ICR 202611-0938-010 · OMB 0938-1443.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10844 Negotiation Program Drug Selection Information Collection Forms Biosimilar Delay	Form and Instruction
CMS-10844 Negotiation Program Drug Selection Information Collectio Forms CMS-10844 Initial Price Applicability Year (2029) Final Negotiation Program Drug Selection Information Collection_clean.do	Form and Instruction
Redline_Drug Selection Form_508.pdf Track Change - Negotiation Program Drug Selection Information Collection Forms	IC Document

IC Title:

Biosimilar Delay

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10844				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	260	260
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Track Change - Negotiation Program Drug Selection Information Collection Forms		11/05/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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