View Information Collection (IC)

View Information Collection (IC)

IC Title:	U.S. Official Order Forms for Schedules I & II Controlled Substances (Accountable Forms), Order Form Requisition	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1305

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			DEA 222 Form instructions.pdf		No		Paper Only
Form	222	U.S. Official Order Forms for Schedules I & II Controlled Substances (Accountable Forms). Order Form Requisition	222-voided.PDF	www.deadiversion.usdoj.gov	Yes	No	Fillable Printable

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: 152,609	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 16 %

	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	152,609	0	0	42,977	0	109,632
Annual IC Time Burden (Hours)	942,315	0	0	-956,688	0	1,899,003
Annual IC Cost Burden (Dollars)	9,560,978	0	0	-257,067	0	9,818,045

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.