Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CMS-367e – Quarterly VBP-MBP Data New 200 200 0 Form CMS-367e Quarterly VBP-MBP Data
Instruction
CMS-367e – System Updates New 50 800 0
DDR Monthly Pricing Data (CMS-367b) Modified 9360 419328 0 Instruction
Form CMS-367b Monthly Pricing Data
DDR Product Data (CMS-367c) Modified 780 33930 0 Instruction
Form CMS-367c Product Data
DDR Quarterly Pricing Data (CMS-367a) Modified 3120 108576 0 Form CMS-376a Quarterly Pricing Data
Instruction
One-Time System Updates (CMS-367a, b, and c) Removed 0 0 0
Supplemental Data Sheet (CMS-367d) Modified 1560 1560 0 Form CMS-367d Contact Information Sheet
Total burden requested under this ICR: 15070 564394 0  
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