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