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OMB Control No: 0938-1396	ICR Reference No: 202508-0938-014
Status: Received in OIRA	Previous ICR Reference No: 202107-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: Medicare Part D Electronic Prescribing Tools (42 CFR 423.128(d)(4)-(5) and 423.160(b)(1)) (CMS-10755)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 08/14/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	700,865	774
Time Burden (Hours)	11,880	0
Cost Burden (Dollars)	3,900,441	2,308,346

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	700,865	774	700,091
Annual Time Burden (Hours)	11,880	0	11,880
Annual Cost Burden (Dollars)	3,900,441	2,308,346	1,592,095

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: No

Burden Reduction Due to:

Short Statement: Burden has increased to reflect the growth in number of Part D contracts and hourly burden attributed to ePA Transactions.

Annual Cost to Federal Government: $4,622

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

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? No

Agency Contact: Stephan McKenzie 410 786-1943 stephan.mckenzie@cms.hhs.gov