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Notification to Prescribe Immediately
Notification of Intent to Use Schedule III, IV, or V Opioid Drugs for the Maintenance and Detoxification Treatment of Opiate Addiction
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Notification to Prescribe Immediately
OMB: 0930-0234
OMB.report
HHS/SAMHSA
OMB 0930-0234
ICR 201911-0930-001
IC 222810
Notification to Prescribe Immediately
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0930-0234 can be found here:
2022-11-08 - Extension without change of a currently approved collection
2021-05-27 - No material or nonsubstantive change to a currently approved collection
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File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
King, Summer (SAMHSA/OPPI)
File Modified
0000-00-00
File Created
2021-01-15
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