Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Negotiation Data Elements ICR Form New 340 20700 0 Form and Instruction CMS-10849 Negotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form
Statutory Written Counteroffer ICR Form Modified 15 3064 0 Form and Instruction CMS-10849 Negotiation Data Elements ICR Form and Drug Price Negotiation Process ICR Form
Total burden requested under this ICR: 355 23764 0  
To view an IC, click on IC Title