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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Administrative Data Report (CMS-368)
Modified
10
5
0
Form
CMS-368
Medicaid Drug Rebate Program, State Agency Contact Form
Quarterly Utilization Report (CMS-R-144)
Modified
224
12096
0
Form
CMS-R-144
Medicaid Drug Rebate Invoice
Instruction
Instruction
Instruction
Total burden requested under this ICR:
234
12101
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
