Information Collection

Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/Machines

IC 12326 under ICR 202008-1117-005 · OMB 1117-0024.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0024 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DEA Form 452 Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/Machines	Form
DEA Form 452 instructions.docx www.deadiversion.usdoj.gov	Instruction
DEA Form 107 instructions.docx www.deadiversion.usdoj.gov	Instruction
DEA Form 452 Regulated Transactions in Tableting/Encapsulating Machin form452_07202017.pdf www.deadiversion.usdoj.gov	Form
DEA Form 107 Report of Loss or Disappearance of Listed Chemicals DEA107v2.0 7-21-17.pdf www.deadiversion.usdoj.gov	Form
1117-0024 Supporting Statement 2014.docx 1117-0024 Supporting Statement 2014	IC Document

IC Title:

Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/Machines

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1310

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	DEA Form 452	Regulated Transactions in Tableting/Encapsulating Machines	form452_07202017.pdf	www.deadiversion.usdoj.gov	Yes	Yes	Fillable Printable
Instruction			DEA Form 452 instructions.docx	www.deadiversion.usdoj.gov	Yes	No	Fillable Printable
Form	DEA Form 107	Report of Loss or Disappearance of Listed Chemicals	DEA107v2.0 7-21-17.pdf	www.deadiversion.usdoj.gov	Yes	Yes	Fillable Printable
Instruction			DEA Form 107 instructions.docx	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: 2,331

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,827	3,764	63
Annual IC Time Burden (Hours)	1,276	1,255	21
Annual IC Cost Burden (Dollars)	70,876	70,845	31

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1117-0024 Supporting Statement 2014	1117-0024 Supporting Statement 2014.docx	02/21/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.