Application for Registration; Application for Registration Renewal; Affidavit for Chain Renewal DEA Retail Pharmacy Registration; Application for Modification of Registration for Online Pharmacies

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Application for Registration; Application for Registration Renewal; Affidavit for Chain Renewal DEA Retail Pharmacy Registration; Application for Modification of Registration for Online Pharmacies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1301.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 440,606	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 85 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	440,606	-360	440,966
Annual IC Time Burden (Hours)	56,354	316	56,038
Annual IC Cost Burden (Dollars)	76,097,816	117,524	75,980,292

Documents for IC

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