View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0921	ICR Reference No: 202603-0938-006
Status: Historical Inactive	Previous ICR Reference No: 202512-0938-022
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-FFS
Title: [IRA Collection] Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 03/30/2026
	Date Received in OIRA: 03/25/2026
Terms of Clearance: The agency requested to withdraw because it is more than a non-substantive change but a revision.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2029	02/28/2029	02/28/2029
Responses	3,000	0	3,000
Time Burden (Hours)	38,500	0	38,500
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government: $2,239,300

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: Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov

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