REPORT OF THEFT OR LOSS OF CONTROLLED SUBSTANCES

ICR 197710-1117-001

OMB: 1117-0001

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
119955 Migrated
ICR Details
1117-0001 197710-1117-001
Historical Active 197709-1117-008
DOJ/DEA
REPORT OF THEFT OR LOSS OF CONTROLLED SUBSTANCES
Extension without change of a currently approved collection   No
Regular
Approved without change 11/04/1977
Retrieve Notice of Action (NOA) 10/31/1977
  Inventory as of this Action Requested Previously Approved
08/31/1982 08/31/1982 01/31/1982
8,000 0 25,000
6,000 0 12,500
0 0 0

SECTIONS 1301.74(C) AND 1301.76(F), CFR 21, REQUIRE THAT A REGISTRANT UPON DISCOVERY OF A THEFT OR LOSS OF CONTROLLED SUBSTANCES, SUBMIT DEA FORM 106 REGARDING SUCH THEFT OR LOSS TO THE DRUG ENFORCEMENT ADMINISTRATION. THE INFORMATION IS USED BY THE DRUG ENFORCEMENT ADMINISTRATION FOR MONITORING QUANTITIES OF CONTROLLED SUBSTANCES DIVERTED INTO THE ILLICIT MARKET AND DEVELOPING INVESTIGATIVE LEADS PURSUANT TO CRIMINAL PROSECUTIONS

None
None


No

1
IC Title Form No. Form Name
REPORT OF THEFT OR LOSS OF CONTROLLED SUBSTANCES DEA 106

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,000 25,000 0 0 -17,000 0
Annual Time Burden (Hours) 6,000 12,500 0 0 -6,500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/31/1977


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