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

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
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.