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National Clandestine Laboratory Seizure Report
National Clandestine Laboratory Seizure Report
OMB: 1117-0042
IC ID: 12352
OMB.report
DOJ/DEA
OMB 1117-0042
ICR 201701-1117-002
IC 12352
( )
Documents and Forms
Document Name
Document Type
Form EPIC-143
National Clandestine Laboratory Seizure Report
Form
EPIC Form 143 Instructions August 2016.pdf
Instruction
EPIC-143 National Clandestine Laboratory Seizure Report
EPIC 143 August 2016.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Clandestine Laboratory Seizure Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
21 CFR 1300
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
EPIC-143
National Clandestine Laboratory Seizure Report
EPIC 143 August 2016.docx
Yes
Yes
Fillable Fileable
Instruction
EPIC Form 143 Instructions August 2016.pdf
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Substance Control
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
850
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
850
0
-12,552
0
13,402
0
Annual IC Time Burden (Hours)
850
0
-12,552
0
13,402
0
Annual IC Cost Burden (Dollars)
27
0
-399
0
426
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.