Information Collection

Four Forms Related To Drug Listing Act Of 1972

IC 109462 under ICR 197708-0910-004 · OMB 0910-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0045 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	FOUR FORMS RELATED TO DRUG LISTING ACT OF 1972	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	FD2656	No	No
Form	FD2656A	No	No
Form	FD2657	No	No
Form	FD2658	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	23,000	23,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.