OMB control number
Drug Questionnaire
OMB 1117-0043 ยท DOJ/DEA.
OMB 1117-0043
Under Executive Order 12564, DEA Policy states that a past history of illegal drug use may be a disqualification for employment with DEA. This form asks job applicants specific questions about their personal history, if any, of illegal drug use.
The latest form for Drug Questionnaire expires 2027-04-30 and is listed under ICR 202401-1117-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DEA-341 Drug Questionnaire | Form |
 DRUG QUESTIONNAIRE-11-2020.pdf | Supplementary Document |
| 1117-0043 Supporting Statement A (01242024).docx | Supporting Statement A |
 Drug Questionnaire |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202401-1117-003 | Extension without change of a currently approved collection | 2024-01-25 | Approved without change | |
| 202011-1117-001 | Reinstatement without change of a previously approved collection | 2020-11-10 | ||
| 201704-1117-001 | Revision of a currently approved collection | 2017-06-27 | Approved without change | |
| 201404-1117-001 | Extension without change of a currently approved collection | 2014-04-28 | Approved with change | |
| 201012-1117-001 | Extension without change of a currently approved collection | 2011-03-24 | Approved without change | |
| 200707-1117-001 | Revision of a currently approved collection | 2007-12-14 | Approved with change | |
| 200410-1117-003 | Extension without change of a currently approved collection | 2004-10-29 | Approved without change | |
| 200404-1117-001 | New collection (Request for a new OMB Control Number) | 2004-04-01 | Approved without change |