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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
CMS-367e – Quarterly VBP-MBP Data
Unchanged
200
200
0
Form
CMS-367e
Quarterly VBP-MBP Data
Instruction
CMS-367e – System Updates
Removed
0
0
0
DDR Monthly Pricing Data (CMS-367b)
Modified
9816
439757
0
Instruction
Form
CMS-367b
Monthly Pricing Data
DDR Product Data (CMS-367c)
Modified
818
35583
0
Instruction
Form
CMS-367c
Product Data
DDR Quarterly Pricing Data (CMS-367a)
Modified
3272
113866
0
Form
CMS-376a
Quarterly Pricing Data
Instruction
Supplemental Data Sheet (CMS-367d)
Modified
1636
1636
0
Form
CMS-367d
Contact Information Sheet
Total burden requested under this ICR:
15742
591042
0
To view an IC, click on IC Title