Information Collection Request

Patient License Report

ICR 201001-2700-002 · OMB 2700-0010 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Patent License 2700-0010.pdf Supplementary Document Uploaded 2006-10-09 Available
Supporting Statment 2700-0010.doc Supporting Statement B Uploaded 0000-00-00 Available
Supporting Statment 2700-0010.doc Supporting Statement A Uploaded 0000-00-00 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
27950 Patient License Report Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2013 36 Months From Approved 02/28/2010
90 0 90
45 0 45
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Patient License Report

table that charts list of burden
  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 90 90 0 0 0 0
Annual Time Burden (Hours) 45 45 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No