Information Collection Request

Report of Theft or Loss of Controlled Substances

ICR 201705-1117-003 · OMB 1117-0001 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 106 Report of Theft or Loss of Controlled Substances -- DEA form 106 Form Modified Available
1117-0001 - Report of Theft or Loss Supporting Statement -final.docx Supporting Statement A Uploaded 2017-08-22 Available
DEA-106 revised clean.doc Supplementary Document Uploaded 2011-08-19 Available
21 U.S.C. 827.doc Supplementary Document Uploaded 2008-04-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
12276 Report of Theft or Loss of Controlled Substances -- DEA form 106 Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2020 36 Months From Approved 10/31/2017
30,563 0 25,430
10,188 0 8,477
626,753 0 475,060





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table that charts list of burden
IC Title Form No. Form Name
Report of Theft or Loss of Controlled Substances -- DEA form 106 106 Report of Theft or Loss of Controlled Substances

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 30,563 25,430 0 5,133 0 0
Annual Time Burden (Hours) 10,188 8,477 0 1,711 0 0
Annual Cost Burden (Dollars) 626,753 475,060 0 151,693 0 0


Reginfo record details
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