View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1117-0065	ICR Reference No: 202507-1117-002
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOJ/DEA	Agency Tracking No:
Title: User Access Request Form for EPIC System Portal (ESP)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/30/2026
	Date Received in OIRA: 01/09/2026
Terms of Clearance: In accordance with 5 CFR 1320, this information collection is approved with the following terms of clearance: agency has agreed to update the portal/form with the OMB control number, expiration date, and burden statement once collection is approved.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2029	36 Months From Approved
Responses	1,000	0	0
Time Burden (Hours)	116	0	0
Cost Burden (Dollars)	4,000	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	1,000	1,000
Annual Time Burden (Hours)	116	116
Annual Cost Burden (Dollars)	4,000	4,000

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is the first request for OMB approval for this particular form. First reporting of burden hours.

Annual Cost to Federal Government: $7,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Benjamin Inks 571 672-4524 benjamin.b.inks@dea.gov

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