U.S. Official Order Forms for Schedules I and II Controlled Substances (ACCOUNTABLE FORMS), Order Form Requisition

ICR 200112-1117-004

OMB: 1117-0010

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1117-0010 200112-1117-004
Historical Active 199809-1117-011
DOJ/DEA
U.S. Official Order Forms for Schedules I and II Controlled Substances (ACCOUNTABLE FORMS), Order Form Requisition
Extension without change of a currently approved collection   No
Regular
Approved without change 03/20/2002
Retrieve Notice of Action (NOA) 12/28/2001
  Inventory as of this Action Requested Previously Approved
03/31/2005 03/31/2005 03/31/2002
663,523 0 436,000
193,508 0 109,000
10,279,000 0 0

DEA-222 is used to transfer or purchase Schedule I & II controlled substances and data is needed to provide an audit of the transfer and purchase. DEA-222a Requisition Form is used to obtain the DEA-222 Order Form. Respondents are DEA registrants desiring to handle these controlled substances.

None
None


No

1
IC Title Form No. Form Name
U.S. Official Order Forms for Schedules I and II Controlled Substances (ACCOUNTABLE FORMS), Order Form Requisition DEA-222, DEA-222A

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 663,523 436,000 0 0 227,523 0
Annual Time Burden (Hours) 193,508 109,000 0 0 84,508 0
Annual Cost Burden (Dollars) 10,279,000 0 0 0 10,279,000 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/28/2001


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