Report of Medical/First Aid Provider Business Activities

ICR 200407-1117-001

OMB: 1117-0040

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
12349
Migrated
ICR Details
1117-0040 200407-1117-001
Historical Active 200308-1117-001
DOJ/DEA
Report of Medical/First Aid Provider Business Activities
Extension without change of a currently approved collection   No
Regular
Approved without change 09/17/2004
Retrieve Notice of Action (NOA) 07/15/2004
  Inventory as of this Action Requested Previously Approved
09/30/2005 09/30/2005 09/30/2004
600 0 600
600 0 600
0 0 0

The collection of this information is necessary to maintain appropriate oversight of the distribution of regulated drug products containing List I chemicals by requiring notification from businesses of their intent to distribute retail subthreshold quantities of pseudoephedrine and phenylpropanolamine drug products for the purpose of supplying/replenishing medical/first aid kits.

None
None


No

1
IC Title Form No. Form Name
Report of Medical/First Aid Provider Business Activities

  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 600 600 0 0 0 0
Annual Time Burden (Hours) 600 600 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.
07/15/2004


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