Information Collection

National Clandestine Laboratory Seizure Report

IC 12352 under ICR 201701-1117-002 · OMB 1117-0042.

Documents and Forms

Document Name Document Type
Form EPIC-143 National Clandestine Laboratory Seizure Report Form
EPIC Form 143 Instructions August 2016.pdf Instruction
EPIC-143 National Clandestine Laboratory Seizure Report EPIC 143 August 2016.docx Form

Information Collection (IC) Details

View Information Collection (IC)

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:

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 143 August 2016.docx		Yes	Yes	Fillable Fileable
Instruction			EPIC Form 143 Instructions August 2016.pdf		Yes	Yes	Printable Only

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 850	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	850	-12,552	13,402
Annual IC Time Burden (Hours)	850	-12,552	13,402
Annual IC Cost Burden (Dollars)	27	-399	426

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.