View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-1026	ICR Reference No: 201011-0938-016
Status: Historical Active	Previous ICR Reference No: 200708-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicaid Payment for Prescription Drugs - Physicians and Hospital Outpatient Departments Collecting and Submitting Drug Identifying Information to State Medicaid Programs (CMS-10215)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/30/2011
	Date Received in OIRA: 11/30/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	36 Months From Approved	01/31/2011
Responses	3,910,000	0	3,910,400
Time Burden (Hours)	16,227	0	15,837
Cost Burden (Dollars)	0	0	336,294

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	3,910,000	3,910,400	-400
Annual Time Burden (Hours)	16,227	15,837	390
Annual Cost Burden (Dollars)	0	336,294	-336,294

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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