Information Collection Request

Report of Theft or Loss of Controlled Substances

ICR 202005-1117-002 · OMB 1117-0001 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DEA-106 Report of Theft or Loss of Controlled Substances -- DEA form 106 Form Modified Repair queued
1117-0001 - Report of Theft or Loss Supporting Statement _2020.docx Supporting Statement A Uploaded 2020-05-18 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
07/31/2023 36 Months From Approved 10/31/2020
37,047 0 30,563
12,349 0 10,188
802,245 0 626,753





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Report of Theft or Loss of Controlled Substances -- DEA form 106 DEA-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 37,047 30,563 0 6,484 0 0
Annual Time Burden (Hours) 12,349 10,188 0 2,161 0 0
Annual Cost Burden (Dollars) 802,245 626,753 0 175,492 0 0


Reginfo record details
  No