Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Average Sales Price: Price Concessions and Bona Fide Service Fees (§§ 414.802 and 414.804)	New	870	10875	0
Manufacturers to Report Drug Pricing Information for Part B (§§ 414.802 and 414.902)	Modified	1740	22620	0	Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Form	CMS-10110	Financial Data Template
					Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Form	CMS-10110	Product Data Template
Total burden requested under this ICR:		2610	33495	0
To view an IC, click on IC Title