View Information Collection (IC)

View Information Collection (IC)

IC Title:	Registrants Inventory of Drugs Surrendered--DEA Form 41	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	41	Registrants Inventory of Drugs Surrendered	2012.05.07 - Modified DEA Form 41 (clean).pdf	http://www.deadiversion.usdoj.gov/21cfr_reports/surrend/index.html	Yes	No	Printable Only
Form	41	DEA Form 41	41_form.pdf	www.DEAdiversion.usdoj.gov	Yes	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 92,924	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	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	92,924	0	5,188	0	0	87,736
Annual IC Time Burden (Hours)	46,462	0	2,594	0	0	43,868
Annual IC Cost Burden (Dollars)	985,234	0	56,987	0	0	928,247

Documents for IC

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.