Information Collection

Self-certification (mail-order distributors)

IC 197039 under ICR 201705-1117-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Self-certification (mail-order distributors)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1314

Information Collection 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 %

	Change Due to Adjustment in Agency Estimate	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

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.