View Information Collection (IC)

View Information Collection (IC)

IC Title:	Report of Theft or Loss of Controlled Substances -- DEA form 106	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 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	106	Report of Theft or Loss of Controlled Substances	Updated 106_form.pdf	www.deadiversion.usdoj.gov	Yes	Yes	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: 11,363	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 98 %

	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	30,563	0	5,133	0	0	25,430
Annual IC Time Burden (Hours)	10,188	0	1,711	0	0	8,477
Annual IC Cost Burden (Dollars)	626,753	0	151,693	0	0	475,060

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.