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Report Of Theft Or Loss Of Controlled Substances
REPORT OF THEFT OR LOSS OF CONTROLLED SUBSTANCES
OMB: 1117-0001
IC ID: 119956
OMB.report
DOJ/DEA
OMB 1117-0001
ICR 198111-1117-002
IC 119956
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0001 can be found here:
2023-11-29 - Revision of a currently approved collection
2023-07-10 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
REPORT OF THEFT OR LOSS OF CONTROLLED SUBSTANCES
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DEA 106
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
13,000
0
0
1,000
0
12,000
Annual IC Time Burden (Hours)
6,500
0
0
500
0
6,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.