Drug Enforcement Administration

DEA

Federal Forms

Forms
OMB NumberTitle
1117-0062 Diversion Control Division Information Technology Modernization Effort
1117-0061 Recordkeeping Requirements for the Electronic Transfer of Electronic Prescriptions for Schedules II-V Controlled Substances between Pharmacies for Initial Filling
1117-0060 Supporting Statement for Paperwork Reduction Act SubmissionsEmergency Medical Services Recordkeeping and Notice Requirements (No Form)
1117-0059 Registration for Controlled Substances Act Data-Use Request
1117-0058 Exempt Chemical Preparations Under the Controlled Substances Act
1117-0057 Recordkeeping Requirements for Partial Fills of Prescriptions for Schedule II Controlled Substances
1117-0056 Reporting and Recordkeeping Requirements Related to Suspicious Orders
1117-0055 Procurement Quota Certification and Recordkeeping Requirements
1117-0054 DEA Ambassador Program
1117-0053 Leadership Engagement Survey
1117-0052 National Drug Threat Survey
1117-0051 Red Ribbon Week Patch
1117-0050 Reports of dispensing of controlled substances by online pharmacies (DEA Form 332)
1117-0049 Recordkeeping for electronic prescriptions for controlled substances
1117-0048 Record Requirements for Chemical Distributors
1117-0047 Application for Import Quota for Ephedrine, Pseudoephedrine, and Phenylpropanolamine (DEA Form 488)
1117-0046 Self-Certification, Training, and Logbooks for Regulated Sellers and Mail-Order Distributors Selling Scheduled Listed Chemical Products.
1117-0043 Drug Questionnaire
1117-0042 National Clandestine Laboratory Seizure Report
1117-0041 Report of Distributions of Samply Packages
1117-0040 Report of Medical/First Aid Provider Business Activities
1117-0038 Reporting and Recordkeeping for Digital Certificates
1117-0037 Prescription Monitoring Program Questionnaire
1117-0036 National Drug Threat Survey
1117-0035 Notice of Intent to Operate a Freight Forwarding Facility
1117-0034 The National Forensic Laboratory Information System Collection of Analysis Data
1117-0033 Report of Mail Order Transactions
1117-0032 Removal of Restrictions on Employing Certain Individuals
1117-0031 Application for Registration Under Domestic Chemical Diversion Control Act of 1993 and Renewal Application for Registration under Domestic Chemical Diversion Control Act of 1993
1117-0030 CRS CUSTOMER SATISFACTION FEEDBACK PLAN
1117-0029 Annual Reporting Requirement for manufacturers of listed chemicals
1117-0028 Reporting on Psychotropic Substances
1117-0026 DOMESTIC FIELD SURVEY OF "REGULATED CHEMICAL FIRMS"
1117-0025 IMPORT/EXPORT ONE-TIME REPORTING REQUIREMENT: IDENTIFICATION OF REGULAR CUSTOMER AND REGULAR SUPPLIER
1117-0024 Regulated Transactions in Tableting/Encapsulating Machine
1117-0023 Import/Export Declaration for List I and List II Chemicals
1117-0022 DEA/USMS/USSS DRUGS OF ABUSE CHAIN OF CUSTODY FORM
1117-0021 Dispensing Records of Individual Practitioners
1117-0020 STATE AND LOCAL DRUG EVIDENCE DATA STUDY
1117-0018 DANGEROUS DRUG "STREET" STUDIES IN EIGHT U.S. CITIES (COPY OF REQUEST FOR CONTRACT ATTACHED)
1117-0017 PIPERIDINE REPORT
1117-0016 RETAIL LEVEL DRUG SAMPLE
1117-0015 Application for Registration (DEA Form 363) and Application for Registration Renewal (DEA Form 363a)
1117-0014 Application for Registration-DEA 224, Application of Registration Renewal-DEA 224A
1117-0013 Application for Permit to Import Controlled Substances for Domestic and/or Scientific Purposes Pursuant to 21 U.S.C. 952
1117-0012 Application for Registration (DEA Form 225); Application for Registration Renewal (DEA Form 225a); Affidavit for Chain Renewal (DEA Form 225B)
1117-0011 APPLICATION FOR PERMIT TO MAINTAIN CENTRAL RECORDS
1117-0010 U.S. Official Order Forms for Schedules I & II Controlled Substances (Accountable Forms), Order Form Requisition
1117-0009 Controlled Substances Import/Export Declaration
1117-0008 Application for Procurement Quota for Controlled Substances and Ephedrine, Pseudoephedrine, and Phenylpropanolamine
1117-0007 Registrant Record of Controlled Substances Destroyed-DEA Form 41
1117-0006 Application for Individual manufacturing Quota for a Basic Class of Controlled Substance and for Ephedrine, Pseudoephedrine, and Phenylpropanolamine
1117-0005 PROJECT DAWN (DRUG ABUSE WARNING NETWORK)
1117-0004 Application for Permit to Export Controlled Substances, Application for Permit to Export Controlled Substances for Subsequent Reexport
1117-0003 ARCOS Transaction Reporting
1117-0002 NOTIFICATION OF SUSPENSION OR REVOCATION OF LICENSE OF A PRACTITIONER
1117-0001 Report of Theft or Loss or Disappearance of Controlled Substances and Listed Chemicals

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