Information Collection

Application for Procurement Quota for Controlled Substances

IC 12294 under ICR 202310-1117-001 · OMB 1117-0008.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DEA Form 250 Application for Procurement Quota for Controlled Substances	Form
DEA Form 250 Application for Procurement Quota for Controlled Substan 250_form 4-30-16.pdf www.deadiversion.usdoj.gov	Form
DEA Form 250 Application for Procurement Quota for Controlled Substan 250_form 4-30-16.pdf www.deadiversion.usdoj.gov	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 21 CFR 1303.12(b) 21 CFR 1315.32

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 250	Application for Procurement Quota for Controlled Substance and for Ephedrine, Pseudoephedrine, and Phenylpropanolamine	250_form 4-30-16.pdf	www.deadiversion.usdoj.gov	Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 344

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	3,066	0	3,066
Annual IC Time Burden (Hours)	1,533	0	1,533
Annual IC Cost Burden (Dollars)	0	-136,253	136,253

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.