Information Collection Request

Small Biotech Exception (CMS-10844) - IRA

ICR 202304-0938-016 · OMB 0938-1443 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1443 can be found here:

Forms and Documents

Document Name	Status
Form CMS-10844 Small Biotech Exception (Drugs Acquired After December 31, 2021) Form and Instruction	New
Form CMS-10844 Small Biotech Exception (Drugs Not Acquired After December 31, 2021) Form and Instruction	New
CMS-10844 SBE ICR_Supporting_Statement_.docx Supporting Statement A	2023-04-24
SBE ICR_Comment and Response Summary_508.pdf Supplementary Document	2023-04-24
SBE ICR_Crosswalk_508.pdf Supplementary Document	2023-04-24

IC Document Collections

IC ID	Document Title	Status
259844	Small Biotech Exception (Drugs Acquired After December 31, 2021) Form and Instruction	New
259843	Small Biotech Exception (Drugs Not Acquired After December 31, 2021) Form and Instruction	New

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CMS
OMB Control No	0938-1443
Type of Information Collection	New collection (Request for a new OMB Control Number)
Agency Tracking No	CM
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31