View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110)
 
No Modified
 
Mandatory
 
42 CFR 414 Subpart J Section 800-806

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Form CMS-10110 Yes Yes Fillable Printable
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Form CMS-10110 Yes Yes Fillable Printable
Form CMS-10110 Yes Yes Fillable Fileable
Form CMS-10110 Yes Yes Fillable Fileable

Health Health Care Services

 

500 0
   
Private Sector 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 3,000 0 1,000 0 0 2,000
Annual IC Time Burden (Hours) 38,500 0 12,500 0 0 26,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Certifier User Guide ( Redline) 01/07/2026
Registration User Guide (Redline) 01/07/2026
Submitter User Guide (Redline) 01/07/2026
Certifier User Guide (Crosswalk) 01/07/2026
Registration User Guide (Crosswalk) 01/07/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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