View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0915-0327
ICR Reference No:
201604-0915-002
Status:
Historical Active
Previous ICR Reference No:
201504-0915-001
Agency/Subagency:
HHS/HSA
Agency Tracking No:
20345
Title:
Enrollment and Re-Certification of Entities in the 340B Drug Pricing Program and Collection of Manufacturer Data to Verify 340B Drug Pricing Program Ceiling Price Calculations
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
08/23/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/03/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2019
36 Months From Approved
09/30/2018
Responses
56,705
0
52,591
Time Burden (Hours)
27,594
0
27,054
Cost Burden (Dollars)
0
0
0
Abstract:
Section 602 of Public Law 102–585, the Veterans Health Care Act of 1992, enacted as Section 340B of the Public Health Service Act (PHS Act; ‘‘Limitation on Prices of Drugs Purchased by Covered Entities’’), provides that a manufacturer who sells covered outpatient drugs to eligible entities must sign a Pharmaceutical Pricing Agreement (PPA) with the Secretary of Health and Human Services in which the manufacturer agrees to charge a price for covered outpatient drugs that will not exceed an amount determined under a statutory formula (‘‘ceiling price’’). A manufacturer subject to a PPA must offer all covered outpatient drugs at no more than the ceiling price to a covered entity listed in the 340B Program database. The manufacturer shall rely on the information in the 340B database to determine if the covered entity is participating in the 340B Program or for any notifications of changes to eligibility that may occur within a quarter. By signing the PPA, the manufacturer agrees to comply with all applicable statutory and regulatory requirements, including any changes that occur after execution of the PPA. Covered entities which choose to participate in the 340B Program must comply with the requirements of Section 340B(a)(5) of the PHS Act. Section 340B(a)(5)(A) prohibits a covered entity from accepting a discount for a drug that would also generate a Medicaid rebate. Further, Section 340B(a)(5)(B) prohibits a covered entity from reselling or otherwise transferring a discounted drug to a person who is not a patient of the entity. This revision to this package consists of the addition of a PPA Addendum. As part of HRSA’s oversight of the 340B Program, this Addendum to the Agreement will help to ensure that the requirements of the statute are met, including that manufacturers provide HRSA with their calculated prices for the pricing validation system, and the provision to offer covered entities drugs for purchase at or below the applicable ceiling price if such drugs are made available to any other purchaser at any price.
Authorizing Statute(s):
PL:
Pub.L. 102 - 585 601-602
Name of Law: Veterans Health Care Act of 1992
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
80 FR 202
10/20/2015
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 68
04/08/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
15
IC Title
Form No.
Form Name
340B Program Registrations amp; Certifications for Children's Hospitals
1, 2, 3
340B Registration Children's Hospital -Revised
,
Cert state or local government-Revised
,
Public Ownership-Revised.docx
340B Program Registrations amp; Certifications for Free Standing Cancer Hospitals
1
340B Registration Free Standing Cancer-Revised
340B Program Registrations amp; Certifications for Rural Referral Hospitals
1
340B Registration Rural Referral and Sole Community Hospitals (Orphan Drug)-REVISED
340B Program Registrations amp; Certifications for Sole Community Hospitals
1
340B Registration Rural Referral and Sole Community Hospitals (Orphan Drug)-REVISED
340B Program Registrations and Certifications for Critical Access Hospitals
1
340B Registration-CAH-Revised
340B Program Registrations and Certifications for Hospitals
1, 3, 4, 2, 5, 6, 7
340B Registration DSH-Revised
,
Cert state or local government-Revised.docx
,
Public Ownership-Revised
,
340B Registration Children's Hospital
,
340B Registration Free Standing Cancer
,
340B Registration Rural Referral and Sole Community Hospitals (Orphan Drug) Revised
,
340B Registration-CAH-Revised.docx
340B Registration for all other covered entities
1
340BRegistration-Covered Entities All Other-Revised
Administrative Change Form
1
340B Participant Change Request-Revised
Administrative Changes for Any Manufacturer
1
340B Manufacturer Change Form-Revised
Annual Recertificaion for STD amp; TB
1, 2
STD-Recertification
,
TB-Recertification
Annual Recertification for Community Health Centers
1
Conmmunity Health Center Recert
Annual Recertification for Other Entities
2
RW-Recertification-Revised
Certification to Enroll Hospitals' Outpatient facilities to 340B Program
1
3 340B Registration-Outpatient Facility Revised
Contract Pharmacy Registration Form
1, 2
Contract Pharmacy Registration-Revised
,
Contract Pharmacy Termination
Hospital Annual Recertification
2, 3, 1
Recert-Critical Access; Sole-community; Rural-Referral centers (Orphan Drug)-Revised
,
Public Ownership-Revised.docx
,
Recert-Free standing Cancer Hospital (Orphan Drug)-Revised.pdf
Manufacturer Data Required to Verify 340 B Ceiling Price Calculations
1
Manufacturer Data Fields for 340B Ceiling Price - FINAL VERSION
Pharmaceutical Pricing Agreement
1
Manufacturer Pharma Pricing Agreement (PPA)
Pharmaceutical Pricing Agreement Addendum
1
DRAFT PPA Addendum (FINAL REVISED).docx
Registrations for Community Health Centers
1
340BRegistration-Covered Entities - Community Health Center.docx
Registrations for STD/TB Clinics
1, 2
340BRegistration-Covered Entities STD-Revised
,
340BRegistration-Covered Entities TB-Revised
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
56,705
52,591
0
4,264
-150
0
Annual Time Burden (Hours)
27,594
27,054
0
840
-300
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The program has rearranged forms into different ICs. The number of forms or the forms themselves have not changed, just how they are presented in the ICs. This has increased or decreased burden hours in the ICs that have been modified, but the total burden hours or responses have not changed in amount.
Annual Cost to Federal Government:
$3,751,617
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Yes
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Elyana Bowman 301 443-3983 enadjem@hrsa.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
05/03/2016