Information Collection

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

IC 12317 under ICR 201504-1117-002 · OMB 1117-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

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-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: 1,046

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 89 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,046	-438	1,484
Annual IC Time Burden (Hours)	123	-149	272
Annual IC Cost Burden (Dollars)	6,227	-324,972	331,199

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.