Application for Registration (DEA Form 363) and Application for Registration Renewal (DEA Form 363a)

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Documents and Forms

Document Name Document Type
Form DEA-363 Application for Registration (DEA Form 363) and Application for Registration Renewal (DEA Form 363a) Form and Instruction
DEA-363 Application for Registration 363 complete form 041012.pdf www.deadiversion.usdoj.gov Form and Instruction
DEA-363A Application for Registration Renewal 363A complete form 041012.pdf www.deadiversion.usdoj.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Registration (DEA Form 363) and Application for Registration Renewal (DEA Form 363a)	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
Form and Instruction	DEA-363	Application for Registration	363 complete form 041012.pdf	www.deadiversion.usdoj.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	DEA-363A	Application for Registration Renewal	363A complete form 041012.pdf	www.deadiversion.usdoj.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,484	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 86 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,484	204	1,280
Annual IC Time Burden (Hours)	272	-136	408
Annual IC Cost Burden (Dollars)	331,199	123,830	207,369

Documents for IC

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.