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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 (CMS-367)
Modified
12810
3612603
0
Form
CMS-367a, CMS-367b, and CMS-367c
Medicaid Drug Program Monthly and Quarterly Drug Reporting
Other-PRA Disclosure Statement
Form
CMS-367d
Supplemental Data Sheet
Instruction
Other-Correction to PRA Disclosure Statement
Total burden requested under this ICR:
12810
3612603
0
To view an IC, click on IC Title