View Information Collection (IC)

View Information Collection (IC)

Survey of Retail Community Pharmacy Invoice Prices
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Dear Pharmacy Owner Letter 12-2014 CLEAN.PDF Yes No Fillable Printable
Other-Cover Sheet Survey Cover Sheet 12-2014.pdf Yes No Fillable Printable
Form and Instruction 1 NADAC Survey Tool NADAC Survey Tool 12-2014 CLEAN.PDF 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 0 0 0 0 30,000
Annual IC Time Burden (Hours) 15,000 0 0 0 0 15,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.