Information Collection

Self-certification (mail-order distributors)

IC 197039 under ICR 201405-1117-004 · OMB 1117-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DEA from 597 Self-certification (mail-order distributors)	Form and Instruction
DEA from 597 CMEA self certification 0046_CMEA Self Cert App 2009-6-30.doc www.DEADiversion.usdoj.gov	Form and Instruction

IC Title:

Self-certification (mail-order distributors)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1314

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 and Instruction	DEA from 597	CMEA self certification	0046_CMEA Self Cert App 2009-6-30.doc	www.DEADiversion.usdoj.gov	Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

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.