Information Collection

Registrants Inventory of Drugs Surrendered--DEA Form 41

IC 12289 under ICR 202010-1117-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 2012.05.07 - Modified DEA Form 41 (clean).pdf www.deadiversion.usdoj.gov/21cfr_reports/surrend/index.html Form
41 DEA Form 41 41_form.pdf www.DEAdiversion.usdoj.gov 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	2012.05.07 - Modified DEA Form 41 (clean).pdf	http://www.deadiversion.usdoj.gov/21cfr_reports/surrend/index.html	Yes	No	Printable Only
Form	41	DEA Form 41	41_form.pdf	www.DEAdiversion.usdoj.gov	Yes	No	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90,629	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	90,629	-2,295	92,924
Annual IC Time Burden (Hours)	45,315	-1,147	46,462
Annual IC Cost Burden (Dollars)	1,008,425	23,191	985,234

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.