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⚠️ Notice: This information collection may be referencing outdated material.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
Form DEA Form 452 Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/Machines Form
DEA Form 452 instructions.docx www.deadiversion.usdoj.gov Instruction
DEA Form 107 instructions.docx www.deadiversion.usdoj.gov Instruction
DEA Form 452 Regulated Transactions in Tableting/Encapsulating Machin form452_07202017.pdf www.deadiversion.usdoj.gov Form
DEA Form 107 Report of Loss or Disappearance of Listed Chemicals DEA107v2.0 7-21-17.pdf www.deadiversion.usdoj.gov Form
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
Form	DEA Form 452	Regulated Transactions in Tableting/Encapsulating Machines	form452_07202017.pdf	www.deadiversion.usdoj.gov	Yes	Yes	Fillable Printable
Instruction			DEA Form 452 instructions.docx	www.deadiversion.usdoj.gov	Yes	No	Fillable Printable
Form	DEA Form 107	Report of Loss or Disappearance of Listed Chemicals	DEA107v2.0 7-21-17.pdf	www.deadiversion.usdoj.gov	Yes	Yes	Fillable Printable
Instruction			DEA Form 107 instructions.docx	www.deadiversion.usdoj.gov	Yes	Yes	Fillable Printable

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	Previously Approved
Annual Number of Responses for this IC	63	63
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	31	31

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.