Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Administrative Systems Modified 90 3600 0
Authorized Distributors of Record Modified 691 1382 0
Convictions Modified 1 1 0
Destroyed or Returned Drug Samples Modified 65 65 0
Distribution of Donated Drug samples Modified 3221 25768 0
Drug Origin Statement Modified 12500 2125 0
Falsification of Drug Sample Records Modified 200 1200 0
Inventory Record and Reconciliation Report Modified 2208 88320 0
Investigation of Discrepancies and Losses Modified 442 10608 0
Loss or Theft of Drug Samples Modified 2000 12000 0
Returned Drugs Modified 158380 39595 0
Contact Person Modified 50 4 0
Donated Drug Samples Modified 3221 1611 0
Drug Origin Statement Modified 12500 6250 0
Drug Sample Receipts Modified 743532 44612 0
Drug Sample Receipts Modified 31367925 941038 0
Drug Sample Requests Modified 31367925 1254717 0
Drug Sample Requests Modified 743532 44612 0
Drug Samples Donated to Charitable Institutions Modified 3221 25768 0
Falsification of Records Modified 200 50 0
Loss or Theft of Samples Modified 2000 500 0
Practitioner Verification Modified 220800 110400 0
Re-importation Modified 1 1 0
Reconciliation Report Modified 1 1 0
Representatives Lists Modified 2208 2208 0
Returned Drugs and Documentation Modified 158380 12670 0
Total burden requested under this ICR: 64805294 2629106 0  
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