Notification of Intent to Use Schedule III, IV, or V Opioid Drugs for the Maintenance and Detoxification Treatment of Opiate Addiction

ICR 202211-0930-002

OMB: 0930-0234

Federal Form Document

Forms and Documents

Document Name	Status
Form NOI Qualifying Oth Qualifying Other Practitioner Form and Instruction	Modified
Form All Practitioner R Practitioner Reporting Form Form and Instruction	Modified
Form NOI 275 All Practi Notice to Treat up to 275 Patients Form and Instruction	Modified
Form NOI Physicians 30 Notice to Treat up to 100 Patients Form and Instruction	Modified
Supporting Statement for NOIs_OMB No. 0930-0234 _ 11-7-2022.docx Supporting Statement A	2022-11-07
NOI Qualifying Other Practitioner NP and PA 30 and 100_30E_Revised OIRA Questions and Edits_CLEAN.docx Supplementary Document	2021-05-26
0930-0234 NOI _ No Material or Nonsubstantive Change_5-26-2021_CLEAN.docx Supplementary Document	2021-05-26
0930-0234 NOI _ No Material or Nonsubstantive Change_5-26-2021_CLEAN.docx Justification for No Material/Nonsubstantive Change	2021-05-26
Attachment A Final NOI Physicians 30 and 100 Waiver- 01.24.2020.docx Supplementary Document	2020-01-29
Attachment D - Notice of Intent.pdf Supplementary Document	2016-09-26
Attachment A - DATA 2000.pdf Supplementary Document	2016-07-12

IC Document Collections

IC ID	Document Title	Status
7645	Notification of Intent Instruction	Modified
223711	Qualifying Other Practitioner Form and Instruction	Modified
222817	Request for a Temporary Patient Increase Patient Increase for an Emergency - 8.655 Instruction	Modified
222816	Practitioner Reporting Form Form and Instruction	Modified
222815	Renewal Request for a Patient Limit Increase - 8.64 Instruction	Modified
222813	Request for Patient Limit - 8.620 Instruction	Modified
222812	Notice to Treat up to 275 Patients Form and Instruction	Modified
222811	Notice to Treat up to 100 Patients Form and Instruction	Modified
222810	Notification to Prescribe Immediately Instruction	Modified