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Federal forms, ICRs, and supporting documents

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Application for Registration-DEA 224, App for Reg Renewal-DEA 224a, Affidavit for Chain Renewal DEA Retail Pharmacy Reg-DEA 244b, Application for Modification of Reg for Online Pharmacies-DEA 224c

IC 12313 under ICR 200908-1117-010 · OMB 1117-0014.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form and Instruction
Information Collection (IC) Details

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Application for Registration-DEA 224, App for Reg Renewal-DEA 224a, Affidavit for Chain Renewal DEA Retail Pharmacy Reg-DEA 244b, Application for Modification of Reg for Online Pharmacies-DEA 224c
 
No Modified
 
Mandatory
 
21 CFR 1301.11 21 CFR 1301.13 21 CFR 1304.40

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DEA-224 Application for Registration DEA-224 Form.pdf www.deadiversion.usdoj.gov Yes Yes Fillable Fileable Signable
Form DEA-224A Application for Registration Renewal DEA-224A Form.pdf www.deadiversion.usdoj.gov Yes Yes Fillable Fileable Signable
Form and Instruction DEA Form 224c Application for Modification of Registration for Online Pharmacies DEA Form 224c.doc www.DEAdiversion.usdoj.gov Yes Yes Fillable Fileable Signable

Law Enforcement Substance Control

 

440,606 0
   
Private Sector Businesses or other for-profits
 
   61 %

  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 440,606 0 0 -360 0 440,966
Annual IC Time Burden (Hours) 56,354 0 0 316 0 56,038
Annual IC Cost Burden (Dollars) 76,097,816 0 0 117,524 0 75,980,292

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