Information Collection Request

Report of Theft or Loss or Disappearance of Controlled Substances and Listed Chemicals

ICR 202311-1117-006 · OMB 1117-0001 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DEA Form 107 Report of Theft or Loss of Listed Chemical Form Modified Available
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 and Listed Chemicals - DEA Form 106 and DEA Form 107 Form and Instruction Modified Repair queued
Revise 1117-0001 Supporting Statement 11.8.2023.docx Supporting Statement A Uploaded 2023-11-22 Repair queued
0001 30 day notice FR publication.pdf Supplementary Document Uploaded 2023-11-21 Repair queued
0001 60 Day Notice FR Publication.pdf Supplementary Document Uploaded 2023-11-21 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 and Listed Chemicals - DEA Form 106 and DEA Form 107 Form ModifiedReport of Theft or Loss of Listed Chemical
12276 Report of Theft or Loss of Controlled Substances and Listed Chemicals - DEA Form 106 and DEA Form 107 Form and Instruction ModifiedReport of Theft and Loss of Controlled Substances
12276 Report of Theft or Loss of Controlled Substances and Listed Chemicals - DEA Form 106 and DEA Form 107 Form and Instruction Modified
12276 Report of Theft or Loss of Controlled Substances and Listed Chemicals - DEA Form 106 and DEA Form 107 Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2027 36 Months From Approved 09/30/2026
32,644 0 37,047
10,881 0 12,348
0 0 0





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Report of Theft or Loss of Controlled Substances and Listed Chemicals - DEA Form 106 and DEA Form 107 DEA Form 106, DEA Form 107 ,  

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 32,644 37,047 0 -4,403 0 0
Annual Time Burden (Hours) 10,881 12,348 0 -1,467 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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