Information Collection

Registrants Inventory of Drugs Surrendered--DEA Form 41

IC 12289 under ICR 200712-1117-003 · OMB 1117-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0007 can be found here:

Documents and Forms

Document Name Document Type
Form 41 Registrants Inventory of Drugs Surrendered--DEA Form 41 Form
41 Registrants Inventory of Drugs Surrendered DEA Form 41.pdf www.deadiversion.usdoj.gov/21cfr_reports/surrend/index.html Form

Information Collection (IC) Details

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	DEA Form 41.pdf	http://www.deadiversion.usdoj.gov/21cfr_reports/surrend/index.html	Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,500	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	22,500	500	22,000
Annual IC Time Burden (Hours)	11,250	250	11,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.