Information Collection

Application for Registration Under Domestic Chemical Diversion Control Act of 1993 and Renewal Application for Registration under Domestic Chemical Diversion Control Act of 1993

IC 12332 under ICR 201601-1117-003 · OMB 1117-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0031 can be found here:

Documents and Forms

Document Name Document Type
Form DEA-510 Application for Registration Under Domestic Chemical Diversion Control Act of 1993 and Renewal Application for Registration under Domestic Chemical Diversion Control Act of 1993 Form and Instruction
DEA-510 APPLICATION FOR REGISTRATION Under the Controlled Substa 510_form_1106.pdf www.deadiversion.usdoj.gov Form and Instruction
DEA-510A Renewal Application for Registration DEA Form 510A.pdf www.deadiversion.usdoj.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Registration Under Domestic Chemical Diversion Control Act of 1993 and Renewal Application for Registration under Domestic Chemical Diversion Control Act of 1993	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 21 CFR 1309.21

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DEA-510	APPLICATION FOR REGISTRATION Under the Controlled Substances Act	510_form_1106.pdf	www.deadiversion.usdoj.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	DEA-510A	Renewal Application for Registration	DEA Form 510A.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: 1,054	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 89 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,054	0	1,054
Annual IC Time Burden (Hours)	90	-257	347
Annual IC Cost Burden (Dollars)	6,736	6,736	0

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.