Justification for a Nonsubstantive Change
Survey of Retail Prices
CMS-10241, OMB 0938-1041
CMS’ Medicaid Benefits and Health Programs Group (MBHPG) is currently experiencing changes in leadership that render the signature block of the English and Spanish versions of the Division of Pharmacy’s Retail Price Survey tool to be inaccurate.
To address the inaccuracies, this December 2025 Justification for a Nonsubstantive Change proposes to modify the survey tools by substituting the Director’s signature and title for placeholder data fields such that the signature block can be flexible and accommodate future changes in leadership.
We are also proposing to change the year “2023” in the English version of the survey tool to a date placeholder. (The Spanish version of the survey tool already had a date placeholder.) We believe that replacing the aforementioned information with placeholders is warranted and non-substantive.
We are not proposing any other changes to the survey tools. The proposed changes have no impact on any of our active burden estimates, Supporting Statement A, and Supporting Statement B.
The proposed changes and the contents of our active collection of information request have been reviewed to ensure that they are consistent with the Trump administration’s policies, goals, and objectives.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Giles, Robert (CMS/CMCS) |
| File Modified | 0000-00-00 |
| File Created | 2025-12-13 |