APPLICATION FOR APPROVAL OF USE OF METHADONE IN A TREATMENT PROGRAM

ICR 198001-0910-001

OMB: 0910-0043

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0910-0043 198001-0910-001
Historical Active 197905-0910-004
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 02/05/1980
Retrieve Notice of Action (NOA) 01/09/1980
  Inventory as of this Action Requested Previously Approved
10/31/1980 10/31/1980 02/28/1980
50 0 50
250 0 250
0 0 0

THIS IS AN APPLICATION AND COMMITMENT BY A PERSON OR ORGANIZATION WHO HAS APPLIED FOR REGISTRATION BY THE DRUG ENFORCEMENT ADMIN. TO TREAT NARCOTIC ADDITS WITH METHADONE ACCORDING TO STANDARDS ESTABLISHED BY THE SECRETARY UNDER THE DRUG ABUSE PREVENTION AND CONTROL ACT OF 1970 AND THE NARCOTIC ADDICT TREATMENT OF 1970.

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.
01/09/1980


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