View Information Collection (IC)

View Information Collection (IC)

Survey of Retail Community Pharmacy Invoice Prices
No New

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Dear Pharmacy Owner Letter 5-1-12 CLEAN.docx Yes No Fillable Printable
Other-Cover Sheet Survey Cover Sheet.docx Yes No Fillable Printable
Form and Instruction 1 NADAC Survey Tool NADAC Survey Tool 5-1-12 CLEAN (2)lr (2)lr (2).docx Yes Yes Fillable Printable

Health Health Care Services


30,000 8,760
Private Sector Businesses or other for-profits
   70 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 30,000 30,000 0 0 0 0
Annual IC Time Burden (Hours) 15,000 15,000 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk - Chnages to 30-day Survey Package Crosswalk RPS PRA.doc 03/02/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.