Information Collection

Application for Individual Manufacturing Quota for a Basic Class of Controlled Substance

IC 12286 under ICR 201903-1117-001 · OMB 1117-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0006 can be found here:

Documents and Forms

Document Name Document Type
189_instruct.pdf www.deadiversion.usdoj.gov/quotas/quota_apps.htm Instruction
DEA Form 189 Application for Individual Manufacturing Quota for a Bas 189_form 4-30-16.pdf www.deadiversion.usdoj.gov/quotas/quota_apps.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Individual Manufacturing Quota for a Basic Class of Controlled Substance	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 1315.22 21 CFR 1303.22

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			189_instruct.pdf	http://www.deadiversion.usdoj.gov/quotas/quota_apps.htm	Yes	No	Fillable Printable
Form	DEA Form 189	Application for Individual Manufacturing Quota for a Basic Class of Controlled Substance and for Ephedrine, Pseudoephedrine, and Phenylpropanolamine	189_form 4-30-16.pdf	http://www.deadiversion.usdoj.gov/quotas/quota_apps.htm	Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 33	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	859	199	660
Annual IC Time Burden (Hours)	430	100	330
Annual IC Cost Burden (Dollars)	38,174	11,883	26,291

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.