Import/Export Declaration for List I and List II Chemicals (Year)

INSTRUCTIONS FOR COMPLETING THE DEA FORM-486A
The DEA Form-486A is used to notify the DEA of all imports of ephedrine, pseudoephedrine, and phenylpropanolamine as required by the Controlled
Substances Import and Export Act (21 U.S.C. 971). The following instructions supplement the parts of the DEA Form-486A that are not completely selfexplanatory. Detailed requirements are found in Title 21 CFR Parts 1300, 1310 and 1313.
Page 1:
Section 1 must always be the importer located in the United States. Section 1b must be the customs broker clearing the imports through U.S. Customs and Border
Protection for entry into U.S. commerce.
Section 2. Example 1:

2a. EPHEDRINE SULFATE
CHEMICAL CODE 8113

2b. EPHEDRINE
20 DRUMS X 50 KG X 0.7712 (C.F.) = 771.2 KG

Example 2:

2a. COUGH & COLD
CHEMICAL CODE 8112

2b. PSEUDOEPHEDRINE
500 BOTTLES X 100 TABLETS X 120 MG = 6 KG
6 kg X 0.8192 (C.F.) = 4.9152 KG

**The DEA registrant should check the DEA Diversion web page “www.deadiversion.usdoj.gov/quotas/conv_factor/index.html” to find the conversion factor of the
listed chemical if it contains a salt (ex. HCl, sulfate, tartrate).
2c. Return Information: The importer must provide the actual date and weight (base) of the ephedrine, pseudoephedrine, or phenylpropanolamine that
arrived at their registered location. If available, the registrant must provide the actual date and weight (base) of the ephedrine, pseudoephedrine, or
phenylpropanolamine that was released by U.S. Customs and Border Protection (CBP).
Section 3a. List the foreign port of export (port name, city, country) from where the shipment will depart the country of export and the anticipated date it will depart.
Section 3b. List the U.S. port of import (port name, city, state) and the anticipated date it will arrive.
Section 4. List the mode of transportation and name(s) of carrier or vessel.
Section 5a. List the name and address of the foreign exporter.
Section 5b. Enter the name and address of the foreign manufacturer. Section 5c. Enter the name and address of the foreign distributor.
Page 2:
Complete 6a and 6b for the first transferee. Complete 7a and 7b for the second transferee. Complete 8a and 8b for the third transferee. Use a separate page 2 for
additional transferees. Per Title 21 CFR § 1313.16, a transferee means a person to whom an importer transfers a listed chemical.
The importer must provide Return Information for each distribution to each transferee listed on page 2 (6c, 7c, 8c) within 30 days of the distribution. If the importer has not
distributed all of the listed chemical imported by the end of the initial 30 day period, the importer must file supplemental return information no later than 30 days from the
date of any further distributions until all of the listed chemical imported is account for.
INSTRUCTIONS FOR DISTRIBUTING DEA FORM-486A
The importer, or their agent, must submit an official record of the import declaration and/or required data concerning the import transaction to customs officer at the port of
entry in compliance with all import control requirements of agencies with import control authorities under the Act or statutory authority other than the
Controlled Substances Import and Export Act. See 21 CFR § 1313.14.
PRIVACY ACT INFORMATION
AUTHORITY: Sections 1018 of the Controlled Substances Import and Export Act.
PURPOSE: To obtain information regarding the importation and exportation of certain chemicals to prevent the illicit manufacture of controlled substances.
ROUTINE USES: The Import/Export Declaration for List i and List II Chemicals produces information required for law enforcement purposes. Disclosure of information is
made to the following categories of users for the purposes stated:
A. Other Federal law enforcement and regulatory agencies for law enforcement and regulatory purposes
B. State and local law enforcement and regulatory agencies for law enforcement and regulatory purposes
C. Persons registered under the Controlled Substances Act (P.L. 91-513) for the purpose of verifying the registration of customers
EFFECT: Failure to complete this form will preclude requested importation or exportation of the referenced controlled substances.
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Public
reporting burden for this collection of information is estimated to average 12 minutes per response for export and international transactions,15 minutes per response for
imports, and 5 minutes per response for Return Information, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Drug Enforcement Administration, FOI and Records Management Section, 8701 Morrissette Drive,
Springfield, VA 22152; and to the Office of Management and Budget, Paperwork Reduction Project No. 1117-0023, Washington, D.C. 20503.