Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/Machines

Reports of Regulated Transactions Involving Extraordinary Quantities, Uncommon Methods of Payment, Unusual/Excessive Loss or Disappearance and Regulated Transactions in Tableting/Encapsulating Machine

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0024 can be found here:

Documents and Forms

Document Name Document Type
1117-0024 Supporting Statement 2014.docx 1117-0024 Supporting Statement 2014 IC Document

Information Collection (IC) Details

IC Title:	Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/Machines	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1310

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 63	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	63	-37	100
Annual IC Time Burden (Hours)	21	-4	25
Annual IC Cost Burden (Dollars)	31	-13	44

Documents for IC

Title	Document	Date Uploaded
1117-0024 Supporting Statement 2014	1117-0024 Supporting Statement 2014.docx	02/21/2014

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