Drug Questionnaire

Documents and Forms

Document Name Document Type
Form DEA-341 Drug Questionnaire Form
DEA-341 Drug Questionnaire DEA-341.pdf www.dea.gov Form
DEA-341 Drug Questionnaire DEA-341.pdf www.dea.gov Form
1117-0043 DEA Website.docx DEA Drug Questionnaire website IC Document
1117-0043 DEA Website.docx DEA Drug Questionnaire website IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Drug Questionnaire	Agency IC Tracking Number:

Is this a Common Form? Yes		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	DEA-341	Drug Questionnaire	DEA-341.pdf	www.dea.gov	Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: Controlled Substances Act Registration Records (CSA	FR Citation: 82 FR 24147

Number of Respondents: 4,727	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,727	-10,273	15,000
Annual IC Time Burden (Hours)	551	-699	1,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
DEA Drug Questionnaire website	1117-0043 DEA Website.docx	01/16/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.