View Information Collection (IC)

View Information Collection (IC)

IC Title:	Report of Theft or Loss of Controlled Substances and Listed Chemicals - DEA Form 106 and DEA Form 107	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1310.05 21 CFR 1301.74

Information Collection Instruments:

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

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: 10,547	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 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

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.