Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Rebate Reduction Extension Request Form New 10 310 0 Form and Instruction CMS-10858
Form and Instruction CMS-10858
Rebate Reduction Request Form New 10 310 0 Form and Instruction CMS-10858
Form and Instruction CMS-10858
Total burden requested under this ICR: 20 620 0  
To view an IC, click on IC Title