Report of Theft or Loss of Controlled Substances and Listed Chemicals - DEA Form 106 and DEA Form 107

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

OMB: 1117-0001

IC ID: 12276

Information Collection (IC) Details

View Information Collection (IC)

Report of Theft or Loss of Controlled Substances and Listed Chemicals - DEA Form 106 and DEA Form 107
 
No Modified
 
Mandatory
 
21 CFR 1310.05 21 CFR 1301.74

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DEA Form 106 Report of Theft and Loss of Controlled Substances TLR Online User Manual 1.0.pdf https://apps.deadiversion.usdoj.gov/TLR/ Yes Yes Fillable Fileable Signable
Instruction DEA Form 107 instructions.docx https://apps.deadiversion.usdoj.gov/TLR/ Yes Yes Fillable Printable
Form DEA Form 107 Report of Theft or Loss of Listed Chemical DEA107v2.0 7-21-17.pdf https://apps.deadiversion.usdoj.gov/TLR/ Yes Yes Fillable Fileable Signable

Law Enforcement Substance Control

 

10,547 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 32,644 0 -4,403 0 0 37,047
Annual IC Time Burden (Hours) 10,881 0 -1,467 0 0 12,348
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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