Drug Questionnaire

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0043 can be found here:

Documents and Forms

Document Name Document Type
Form 341 Drug Questionnaire Form
341 Drug Use Questionnaire DEA Form 341 Drug Questionnaire.pdf www.dea.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Drug Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	341	Drug Use Questionnaire	DEA Form 341 Drug Questionnaire.pdf	www.dea.gov	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 49 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	31,800	1,800	30,000
Annual IC Time Burden (Hours)	2,650	150	2,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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