Drug Questionnaire

ICR 202401-1117-003

OMB: 1117-0043

Federal Form Document

Forms and Documents

Document Name	Status
Form DEA-341 Drug Questionnaire Form	Modified
DRUG QUESTIONNAIRE-11-2020.pdf Supplementary Document	2020-11-09
1117-0043 Supporting Statement A (01242024).docx Supporting Statement A	2024-01-25

IC Document Collections

IC ID	Document Title	Status
12354	Drug Questionnaire Form	Modified