Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Diversion Control Plan New 517 259 0 Instruction
Notice to Treat up to 100 Patients New 500 20 0 Instruction
Notification of Intent Modified 1500 125 0 Instruction
Notification to Prescribe Immediately New 50 4 0 Instruction
Patient Notice New 52 3 0 Form and Instruction Patient Notice Patient Notice
Renewal Request for a Patient Limit Increase New 1 1 0 Instruction
Request for a Temporary Patient Increase Patient Increase for an Emergency New 10 30 0 Instruction
Request for patient Limit Increase New 517 259 0 Form and Instruction Request for Patient Limit Increase Request for Patient Limit Increase
Total burden requested under this ICR: 3147 701 0  
To view an IC, click on IC Title