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Report of Theft or Loss of Controlled Substances -- DEA form 106
Report of Theft or Loss of Controlled Substances
OMB: 1117-0001
IC ID: 12276
OMB.report
DOJ/DEA
OMB 1117-0001
ICR 201311-1117-001
IC 12276
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0001 can be found here:
2023-11-29 - Revision of a currently approved collection
2023-07-10 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DEA-106
Report of Theft or Loss of Controlled Substances -- DEA form 106
Form
DEA-106 Report of Theft or Loss of Controlled Substances
DEA-106 8-24-2011.pdf
www.deadiversion.usdoj.gov
Form
106 DEA Form 106
106_form.pdf
www.DEAdiversion.usdoj.gov
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Report of Theft or Loss of Controlled Substances -- DEA form 106
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DEA-106
Report of Theft or Loss of Controlled Substances
DEA-106 8-24-2011.pdf
www.deadiversion.usdoj.gov
Yes
No
Printable Only
Form
106
DEA Form 106
106_form.pdf
www.DEAdiversion.usdoj.gov
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Substance Control
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
9,655
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
95 %
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
25,430
0
9,655
613
0
15,162
Annual IC Time Burden (Hours)
8,477
0
3,218
205
0
5,054
Annual IC Cost Burden (Dollars)
475,060
0
180,102
293,977
0
981
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.