Information Collection Request

Negotiation Data Elements under Sections 11001 and 11002 of the Inflation Reduction Act (CMS-10847)

ICR 202306-0938-013 · OMB 0938-1449 · Received in OIRA

Forms and Documents

Document Name	Status
Form CMS-10847 General Public (individual and organization) Form and Instruction	New
Form CMS-10847 Primary Manufacturers Form and Instruction	New
Final clean 60 Day Data Elements Comment Summary Responses.docx Supplementary Document	2023-06-29
60 to 30 Day Data Elements Cross Walk_508 FINAL.pdf Supplementary Document	2023-06-29
CMS-10847_Negotiation Data Elements Supporting Statement.docx Supporting Statement A	2023-06-29

IC Document Collections

IC ID	Document Title	Status
260900	General Public (individual and organization) Form and Instruction	New
260899	Primary Manufacturers Form and Instruction	New

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CMS
OMB Control No	0938-1449
Type of Information Collection	New collection (Request for a new OMB Control Number)
Agency Tracking No	CM-CPC
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31