Information Collection Request

Dispensing Records of Individual Practitioners

ICR 202012-1117-005 · OMB 1117-0021 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
21 U.S.C. 827.doc Supplementary Document Uploaded 2008-05-20 Missing upstream
Supporting Statement for 1117-0021 (final).docx Supporting Statement A Uploaded 2017-10-05 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
12320 Dispensing Records of Individual Practitioners Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 01/31/2021
64,751 64,751
3,852 3,852
72,010 72,010





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Dispensing Records of Individual Practitioners

table that charts list of burden
  Total Request 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 64,751 64,751 0 0 0 0
Annual Time Burden (Hours) 3,852 3,852 0 0 0 0
Annual Cost Burden (Dollars) 72,010 72,010 0 0 0 0


Reginfo record details
  No