Application for Registration (DEA Form 363), Application for Registration Renewal (DEA Form 363a), Application for Registration Renewal (Chain) (DEA Form 363b)

ICR 200208-1117-003

OMB: 1117-0015

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1117-0015 200208-1117-003
Historical Active 200102-1117-003
DOJ/DEA
Application for Registration (DEA Form 363), Application for Registration Renewal (DEA Form 363a), Application for Registration Renewal (Chain) (DEA Form 363b)
Extension without change of a currently approved collection   No
Regular
Approved without change 10/18/2002
Retrieve Notice of Action (NOA) 08/13/2002
  Inventory as of this Action Requested Previously Approved
12/31/2005 12/31/2005 10/31/2002
1,251 0 1,114
626 0 557
80,000 0 65,000

Practitioners who dispense narcotic drugs to individuals for maintenance or detoxification treatment must register with the DEA under the Narcotic Addict Treatment Act of 1974. Registration is needed for contol measures and is used to prevent diversion.

None
None


No

  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 1,251 1,114 0 0 137 0
Annual Time Burden (Hours) 626 557 0 0 69 0
Annual Cost Burden (Dollars) 80,000 65,000 0 0 15,000 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.
08/13/2002


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