U.S. Official Order Forms for Schedules I & II Controlled Substances (Accountable Forms), Order Form Requisition

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0010 can be found here:

Documents and Forms

Document Name Document Type
Form 222 U.S. Official Order Forms for Schedules I & II Controlled Substances (Accountable Forms), Order Form Requisition Form
DEA Form 222 ( Instructions).pdf Instruction
222 U.S. Official Order Forms for Schedules I & II Controlle 222-voided.PDF www.deadiversion.usdoj.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	U.S. Official Order Forms for Schedules I & II Controlled Substances (Accountable Forms), Order Form Requisition	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1305

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	222	U.S. Official Order Forms for Schedules I & II Controlled Substances (Accountable Forms). Order Form Requisition	222-voided.PDF	www.deadiversion.usdoj.gov	Yes	No	Fillable Printable
Instruction			DEA Form 222 ( Instructions).pdf		No		Paper Only

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 125,435	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 45 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	9,079,980	8,927,371	152,609
Annual IC Time Burden (Hours)	1,453,348	511,033	942,315
Annual IC Cost Burden (Dollars)	127,240,638	117,679,660	9,560,978

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.