Information Collection

National Clandestine Laboratory Seizure Report

IC 12352 under ICR 201307-1117-001 · OMB 1117-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EPIC 143 National Clandestine Laboratory Seizure Report	Form
EPIC 143 CLS Automated Form Guide.doc	Instruction
EPIC 143 National Clandestine Laboratory Seizure Report EPIC CLS 143-1.pdf	Form

IC Title:

National Clandestine Laboratory Seizure Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 1300

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	EPIC 143	National Clandestine Laboratory Seizure Report	EPIC CLS 143-1.pdf		Yes	Yes	Fillable Fileable
Instruction			EPIC 143 CLS Automated Form Guide.doc		Yes	Yes	Printable Only

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,267

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	13,402	4,241	9,161
Annual IC Time Burden (Hours)	13,402	4,241	9,161
Annual IC Cost Burden (Dollars)	426	-400	826

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.