Information Collection Request
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110) - IRA
ICR 202405-0938-015 · OMB 0938-0921 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0921 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Supporting Statement A | 2024-05-14 |
Supplementary Document | 2024-05-14 |
CMS-10110_Supporting_Statement_A.docx
Crosswalk Document for CMS 10110 -20240130.pdfIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 8767 | Modified |
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110)ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0921 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202304-0938-010 |
| Agency Tracking No | CM-FFS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |