Information Collection

Drug Questionnaire

IC 12354 under ICR 202011-1117-001 · OMB 1117-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DEA-341 Drug Questionnaire	Form
Form DEA-341 Drug Questionnaire Drug Questionnaire	Form
DEA-341 Drug Questionnaire DEA-341.pdf	Form
DEA-341 Drug Questionnaire DEA-341.pdf	Form

IC Title:

Drug Questionnaire

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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-341			www.dea.gov	Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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