Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual State Report and Annual State Performance Rankings (CMS-10241) Modified 51 765 0 Form and Instruction CMS-10241 Annual State Report and Annual State Performance Ranking
Survey of Retail Community Pharmacy Invoice Prices New 30000 15000 0 Instruction
Other-Cover Sheet
Form and Instruction 1 NADAC Survey Tool
Total burden requested under this ICR: 30051 15765 0  
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