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View Information Collection (IC)

Collection of Drug Event Data from Contracted Part D Providers For Payments (CMS-10174)
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction PDEGuidance_PRA Disclosure Statement.pdf Yes No Printable Only
Instruction PDE Inbound File Layout.pdf Yes Yes Printable Only

Health Health Care Services


739 149
Private Sector Not-for-profit institutions, Businesses or other for-profits
   100 %

  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 1,499,238,090 0 0 89,409,626 0 1,409,828,464
Annual IC Time Burden (Hours) 2,998 0 0 178 0 2,820
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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