Information Collection Request

Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments (CMS-10174) - IRA

ICR 202403-0938-002 · OMB 0938-0982 · Received in OIRA

Forms and Documents

Document Name	Status
CMS-10174 - Supporting Statement A_.docx Supporting Statement A	2024-03-05
Crosswalk CMS-10174_11-2023 (003).pdf Supplementary Document	2024-03-01

IC Document Collections

IC ID	Document Title	Status
43675	Collection of Drug Event Data from Contracted Part D Providers For Payments Instruction	Modified
261111	Expansion of the PDE File Layout and Addition of New PDE Fields (New) Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CMS
OMB Control No	0938-0982
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202306-0938-007
Agency Tracking No	CM-CPC
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31