Information Collection

Opioid Drugs in Maintenance and Detoxification Treatment of Opiate Addiction - 42 CFR Part 8

IC 37857 under ICR 200609-0930-003 · OMB 0930-0206.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0206 can be found here:

Documents and Forms

Document Name Document Type
Form SMA-162 Opioid Drugs in Maintenance and Detoxification Treatment of Opiate Addiction - 42 CFR Part 8 Form and Instruction
SMA-162 Application for Certification to Use Opioid Drugs in a T Form 162_ Attachment E.pdf Form and Instruction
SMA-163 Application for Approval as Accreditation Body Under 42 Final Form163_Attachment F.pdf Form and Instruction
SMA-168 Exception Request and Record of Justification Under 42 C Exception168 Attachment G.pdf Form and Instruction
Comment received_Attachment M.pdf Comments from the 60-Day Notice IC Document
INTPRB list_Attachment K.pdf Membership List IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Opioid Drugs in Maintenance and Detoxification Treatment of Opiate Addiction - 42 CFR Part 8	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SMA-162	Application for Certification to Use Opioid Drugs in a Treatment Program Under 42 CFR 8.11	Form 162_ Attachment E.pdf	Yes	Yes	Paper Only
Form and Instruction	SMA-163	Application for Approval as Accreditation Body Under 42 CFR 8.3(b)	Final Form163_Attachment F.pdf	Yes	Yes	Paper Only
Form and Instruction	SMA-168	Exception Request and Record of Justification Under 42 CFR 8.11(h)	Exception168 Attachment G.pdf	Yes	Yes	Paper Only

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,657	-7,020	0	9,677
Annual IC Time Burden (Hours)	2,657	-374	996	2,035
Annual IC Cost Burden (Dollars)	692,999	-1,831,001	0	2,524,000

Documents for IC

Title	Document	Date Uploaded
Comments from the 60-Day Notice	Comment received_Attachment M.pdf	09/14/2006
Membership List	INTPRB list_Attachment K.pdf	09/14/2006

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.