PRA IC List
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110)
Modified
3000
38500
0
Instruction
Instruction
Instruction
Instruction
Instruction
Form
CMS-10110
Financial Data Template
Instruction
Instruction
Instruction
Instruction
Instruction
Form
CMS-10110
Product Data Template
Form
CMS-10110
Reasonable Assumptions Form
Form
CMS-10110
Bona Fide Service Fee Certification Form
Total burden requested under this ICR:
3000
38500
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
