Information Collection

National Clandestine Laboratory Seizure Report

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EPIC-143 National Clandestine Laboratory Seizure Report 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

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EPIC-143				Yes	Yes	Fillable Fileable
Instruction					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 %

table that charts list of burden
	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

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.

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