View Information Collection (IC)

View Information Collection (IC)

National Average Drug Acquisition Cost (NADAC) Survey
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Dear_Pharmacy_Letter_508 Updated 7.9.2021.pdf Yes No Fillable Printable
Form and Instruction CMS-10241 National Average Drug Acquisition Cost (NADAC) Survey Request for Information Survey_Tool_508 Updated 7.9.2021.pdf Yes Yes Fillable Printable
Other-Survey Cover Sheet Survey Cover Sheet For Email_LP_508.pdf No   Printable Only

Health Health Care Services


72,000 21,024
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 72,000 0 42,000 0 0 30,000
Annual IC Time Burden (Hours) 36,000 0 21,000 0 0 15,000
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.