Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Requirement for Electronic Prescribing for Controlled Substances (EPCS) for a Covered Part D Drug Under a Prescription Drug Plan or an MA–PD Plan New 100 17 0 Form and Instruction CMS-10834 EPCS Waiver Application
Total burden requested under this ICR: 100 17 0  
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