Registration for CSA Data-Use Request

Registration for Controlled Substances Act Data-Use Request

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0059 can be found here:

Documents and Forms

Document Name Document Type
Form Not Applicable Registration for CSA Data-Use Request Form
Not Applicable Controlled Substances Act Registration Data-Use Request Drug Enforcement Administration Registration CSA Data-Use Request.docx Form

Information Collection (IC) Details

IC Title:	Registration for CSA Data-Use Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Not Applicable	Controlled Substances Act Registration Data-Use Request	Drug Enforcement Administration Registration CSA Data-Use Request.docx		Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	11,860	11,860

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.