Information Collection

Self-certification (regulated seller)

IC 44919 under ICR 202401-1117-002 · OMB 1117-0046.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DEA Form 597 Self-certification (regulated seller)	Form and Instruction
DEA Form 597 CMEA Self-Certification 0046_CMEA Self Cert App 2009-6-30.doc www.DEAdiversion.usdoj.gov	Form and Instruction
DEA Form 597 CMEA Self-Certification 0046_CMEA Self Cert App 2009-6-30.doc www.DEAdiversion.usdoj.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1314

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 and Instruction	DEA Form 597	CMEA Self-Certification	0046_CMEA Self Cert App 2009-6-30.doc	www.DEAdiversion.usdoj.gov	Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records

Title: Controlled Substances Act Registration Records (CSA

FR Citation: 82 FR 24147

Number of Respondents: 51,559

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	51,559	-98	51,657
Annual IC Time Burden (Hours)	12,890	-24	12,914
Annual IC Cost Burden (Dollars)	396	-1,134,508	1,134,904

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.