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Drug Enforcement Administration

Agency prefix 1117 · DEA · Federal forms and information collections.

Forms

OMB Number	Title
1117-0063	Pre-Employment Drug Policy Notification and Acknowledgement (DEA-200)
1117-0062	Diversion Control Division Information Technology Modernization Effort
1117-0061	Recordkeeping Requirements for the Electronic Transfer of Electronic Prescriptions for Schedules II-V Controlled Substances between Pharmacies for Initial Filling
1117-0060	Supporting Statement for Paperwork Reduction Act SubmissionsEmergency Medical Services Recordkeeping and Notice Requirements (No Form)
1117-0059	Registration for Controlled Substances Act Data-Use Request
1117-0058	Exempt Chemical Preparations Under the Controlled Substances Act
1117-0057	Recordkeeping Requirements for Partial Fills of Prescriptions for Schedule II Controlled Substances
1117-0056	Reporting and Recordkeeping Requirements Related to Suspicious Orders
1117-0055	Procurement Quota Certification and Recordkeeping Requirements
1117-0054	DEA Ambassador Program
1117-0053	Leadership Engagement Survey (LES)
1117-0052	National Drug Threat Survey
1117-0051	Red Ribbon Week Patch
1117-0050	Reports of dispensing of controlled substances by online pharmacies (DEA Form 332)
1117-0049	Recordkeeping for electronic prescriptions for controlled substances
1117-0048	Record Requirements for Chemical Distributors
1117-0047	Application for Import Quota for Ephedrine, Pseudoephedrine, and Phenylpropanolamine (DEA Form 488)
1117-0046	Self-Certification, Training, and Logbooks for Regulated Sellers Selling Scheduled Listed Chemical Products.
1117-0043	Drug Questionnaire
1117-0042	National Clandestine Laboratory Seizure Report
1117-0041	Report of Distributions of Samply Packages
1117-0040	Report of Medical/First Aid Provider Business Activities
1117-0038	Reporting and Recordkeeping for Digital Certificates - Form 251
1117-0037	Prescription Monitoring Program Questionnaire
1117-0036	National Drug Threat Survey
1117-0035	Notice of Intent to Operate a Freight Forwarding Facility
1117-0034	The National Forensic Laboratory Information System Collection of Analysis Data
1117-0033	Report of Mail Order Transactions
1117-0032	Removal of Restrictions on Employing Certain Individuals
1117-0031	Application for Registration Under Domestic Chemical Diversion Control Act of 1993 and Renewal Application for Registration under Domestic Chemical Diversion Control Act of 1993
1117-0030	CRS CUSTOMER SATISFACTION FEEDBACK PLAN
1117-0029	Annual Reporting Requirement for manufacturers of listed chemicals
1117-0028	Reporting on Psychotropic Substances
1117-0026	DOMESTIC FIELD SURVEY OF "REGULATED CHEMICAL FIRMS"
1117-0025	IMPORT/EXPORT ONE-TIME REPORTING REQUIREMENT: IDENTIFICATION OF REGULAR CUSTOMER AND REGULAR SUPPLIER
1117-0024	Reports of Suspicious Orders or Theft/Loss of Listed Chemicals/Machines
1117-0023	Import/Export Declaration: Precursor and Essential Chemicals
1117-0022	DEA/USMS/USSS DRUGS OF ABUSE CHAIN OF CUSTODY FORM
1117-0021	RECORDS AND REPORTS OF REGISTRANTS: CHANGES IN RECORD REQUIREMENTS FOR INDIVIDUAL PRATITIONERS
1117-0020	STATE AND LOCAL DRUG EVIDENCE DATA STUDY
1117-0018	DANGEROUS DRUG "STREET" STUDIES IN EIGHT U.S. CITIES (COPY OF REQUEST FOR CONTRACT ATTACHED)
1117-0017	PIPERIDINE REPORT
1117-0016	RETAIL LEVEL DRUG SAMPLE
1117-0015	APPLICATION FOR REGISTRATION AND RENEWAL (NARCOTIC TREATMENT)
1117-0014	Application for Registration; Application for Registration Renewal; Affidavit for Chain Renewal DEA Retail Pharmacy Registration; Application for Modification of Registration for Online Pharmacies
1117-0013	APPLICATION FOR PERMIT TO IMPORT CONTROLLED SUBSTANCES FOR DOMESTIC AND/OR SCIENTIFIC PURPOSES PURSUANT TO 21 USC SECTION 952
1117-0012	Application for Registration, Application for Registration Renewal
1117-0011	APPLICATION FOR PERMIT TO MAINTAIN CENTRAL RECORDS
1117-0010	U.S. Official Order Forms for Schedules I and II Controlled Substances (ACCOUNTABLE FORMS), Order Form Requisition
1117-0009	Controlled Substances Import/Export Declaration--DEA Form 236
1117-0008	Application for Procurement Quota for Controlled Substances and Ephedrine, Pseudoephedrine, and Phenylpropanolamine
1117-0007	Registrants Inventory of Drugs Surrendered--DEA Form 41
1117-0006	APPLICATION FOR INDIVIDUAL MANUFACTURING QUOTA FOR A BASIC CLASS OF CONTROLLED SUBSTANCES
1117-0005	PROJECT DAWN - IV - DRUG ABUSE WARNING NETWORK
1117-0004	Application for Permit to Export Controlled Substances--DEA Form 161 and 161R
1117-0003	ARCOS Transaction Reporting--DEA Form 333
1117-0002	NOTIFICATION OF SUSPENSION OR REVOCATION OF LICENSE OF A PRACTITIONER
1117-0001	Report of Theft or Loss or Disappearance of Controlled Substances and Listed Chemicals