Information Collection

U.s. Official Order Forms For Schedules I And Ii Controlled Substances & Order Form Requisition For Schedules I And Ii Controlled Substances

IC 120016 under ICR 198706-1117-001 · OMB 1117-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0010 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

U.S. OFFICIAL ORDER FORMS FOR SCHEDULES I AND II CONTROLLED SUBSTANCES & ORDER FORM REQUISITION FOR SCHEDULES I AND II CONTROLLED SUBSTANCES

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DEA 222A				No	No
Form	DEA-222				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 436,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	436,000	32,000	404,000
Annual IC Time Burden (Hours)	109,000	8,000	101,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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