Information Collection

Registrants Inventory of Drugs Surrendered--DEA Form 41

IC 12289 under ICR 200712-1117-003 · OMB 1117-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 41 Registrants Inventory of Drugs Surrendered--DEA Form 41	Form
41 Registrants Inventory of Drugs Surrendered DEA Form 41.pdf www.deadiversion.usdoj.gov/21cfr_reports/surrend/index.html	Form

IC Title:

Registrants Inventory of Drugs Surrendered--DEA Form 41

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	41	Registrants Inventory of Drugs Surrendered	DEA Form 41.pdf	http://www.deadiversion.usdoj.gov/21cfr_reports/surrend/index.html	Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	22,500	500	22,000
Annual IC Time Burden (Hours)	11,250	250	11,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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