Notification of Intent to Use Schedule III, IV, or V Opioid Drugs for the Maintenance and Detoxification Treatment of Opiate Addiction under 21 USC / 823(g)(2)
ICR 200210-0930-002
OMB: 0930-0234
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0930-0234 can be found here:
Notification of Intent to Use
Schedule III, IV, or V Opioid Drugs for the Maintenance and
Detoxification Treatment of Opiate Addiction under 21 USC /
823(g)(2)
Extension without change of a currently approved collection
Approved for use
through 12/2005 under the condition that SAMHSA immediately
incorporates the full PRA disclosure statement, including the
solicitation for public comment, into the hard copy and web
versions of the forms.
Inventory as of this Action
Requested
Previously Approved
03/31/2006
03/31/2006
12/31/2002
1,233
0
1,233
103
0
103
0
0
0
The Drug Addition Treatment Act of
2000 ("DATA", P.L. 106-310, Sec 3502, 21 USC 823(g)(2) Controlled
Substances Act, "CSA") establishes conditions for physicians to
obtain waivers to permit them to prescribe certain approved
narcotic treatment medications for the maintenance or
detoxification treatment of opioid addiction. DATA establishes a
set procedure for practitioners to obtain waivers. Interested
practitioners are required to submit written notifications to the
Secretary. HHS, who is required to determine whether the
practitioner has met the criteria for a waiver within 45 days from
the date of receipt....
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.