Information Collection

Exempt Chemical Preparations Application

IC 248294 under ICR 202407-1117-002 · OMB 1117-0058.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Exempt Chemical Preparations Application	Form
Exempt Chemical Preparations Application Exempt Chemical Preparations Application	Form
Exempt Chemical Preparations Application ECP Online application Screen Mockup 06082021.pptx www.deadiversion.usdoj.gov	Form
Exempt Chemical Preparations Application ECP Online application Screen Mockup 06082021.pptx 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 1308.23

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	N/A			https://www.deadiversion.usdoj.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 131

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,093	0	2,093
Annual IC Time Burden (Hours)	2,093	0	2,093
Annual IC Cost Burden (Dollars)	0	-113,169	113,169

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.

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