Information Collection Request

Report of Theft or Loss of Controlled Substances

ICR 202306-1117-002 · OMB 1117-0001 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DEA Form 106 Report of Theft and Loss of Controlled Substances Form and Instruction Modified Available
Form DEA Form 106 Report of Theft or Loss of Controlled Substances -- DEA form 106 Form and Instruction Modified Repair queued
1117-AB57 Report of Theft or Loss Supporting Statement _06.22.2023.docx Supporting Statement A Uploaded 2023-06-22 Available
21 U.S.C. 827.doc Supplementary Document Uploaded 2008-04-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
12276 Report of Theft or Loss of Controlled Substances -- DEA form 106 Form and Instruction ModifiedReport of Theft and Loss of Controlled Substances
12276 Report of Theft or Loss of Controlled Substances -- DEA form 106 Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2026 36 Months From Approved 08/31/2023
37,047 0 37,047
12,348 0 12,349
0 0 802,245





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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 Form 106

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 37,047 0 0 0 0
Annual Time Burden (Hours) 12,348 12,349 0 -1 0 0
Annual Cost Burden (Dollars) 0 802,245 0 -802,245 0 0


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