Registrants Inventory of Drugs Surrendered--DEA Form 41

Registrant Record of Controlled Substances Destroyed-DEA Form 41

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0007 can be found here:

Documents and Forms

Document Name Document Type
Form 41 Registrants Inventory of Drugs Surrendered--DEA Form 41 Form
41 Registrants Inventory of Drugs Surrendered 2012.05.07 - Modified DEA Form 41 (clean).pdf www.deadiversion.usdoj.gov/21cfr_reports/surrend/index.html Form
41 DEA Form 41 41_form.pdf www.DEAdiversion.usdoj.gov Form

Information Collection (IC) Details

IC Title:	Registrants Inventory of Drugs Surrendered--DEA Form 41	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	41	Registrants Inventory of Drugs Surrendered	2012.05.07 - Modified DEA Form 41 (clean).pdf	http://www.deadiversion.usdoj.gov/21cfr_reports/surrend/index.html	Yes	No	Printable Only
Form	41	DEA Form 41	41_form.pdf	www.DEAdiversion.usdoj.gov	Yes	No	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90,629	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	90,629	-2,295	92,924
Annual IC Time Burden (Hours)	45,315	-1,147	46,462
Annual IC Cost Burden (Dollars)	1,008,425	23,191	985,234

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.