Information Collection

Report of Theft or Loss of Controlled Substances -- DEA form 106

IC 12276 under ICR 202005-1117-002 · OMB 1117-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0001 can be found here:

Documents and Forms

Document Name Document Type
Form DEA-106 Report of Theft or Loss of Controlled Substances -- DEA form 106 Form
DEA-106 Report of Theft or Loss of Controlled Substances Form 106-2020_B.pdf www.deadiversion.usdoj.gov Form

Information Collection (IC) Details

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	DEA-106	Report of Theft or Loss of Controlled Substances	Form 106-2020_B.pdf	www.deadiversion.usdoj.gov	Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,693	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	37,047	6,484	30,563
Annual IC Time Burden (Hours)	12,349	2,161	10,188
Annual IC Cost Burden (Dollars)	802,245	175,492	626,753

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.