APPLICATION FOR APPROVAL OF USE OF METHADONE IN A TREATMENT PROGRAM

ICR 197905-0910-004

OMB: 0910-0043

Federal Form Document

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Name
Status
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ICR Details
0910-0043 197905-0910-004
Historical Active 197810-0910-002
HHS/FDA
APPLICATION FOR APPROVAL OF USE OF METHADONE IN A TREATMENT PROGRAM
Extension without change of a currently approved collection   No
Regular
Approved without change 06/01/1979
Retrieve Notice of Action (NOA) 05/14/1979
  Inventory as of this Action Requested Previously Approved
02/28/1980 02/28/1980 07/31/1979
50 0 50
250 0 250
0 0 0



None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR APPROVAL OF USE OF METHADONE IN A TREATMENT PROGRAM FD 2632

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50 50 0 0 0 0
Annual Time Burden (Hours) 250 250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/14/1979


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