Dispensing Records of Individual Practitioners

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

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IC Title:	Dispensing Records of Individual Practitioners	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 21 CFR 1317 21 CFR 1307 21 CFR 1304

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72,333	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	72,333	0	72,333
Annual IC Time Burden (Hours)	36,167	0	36,167
Annual IC Cost Burden (Dollars)	0	-1,028,608	1,028,608

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.