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URL: | https://www.deadiversion.usdoj.gov/imp_exp/357/form-357.html |
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Title: | Diversion Control Division | DEA Form 357 |
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Keywords: | Diversion Control Division |
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Body: | DEA.Registration.Help@dea.gov
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DEA Form 357
Home
Reporting
Import/Export Permit Applications and Declarations
DEA Form 357
DEA Form 357 - Application for Permit to Import Controlled Substances for
Domestic and/or Scientific Purposes (PDF)
Instructions PDF
INFORMATION AND INSTRUCTIONS, DEA FORM 357
This application must be completed in triplicate. Original is sent to DEA.
See instruction 6c for copies two and three.
Importation of any controlled substance listed in schedule I or II or any
narcotic drug listed in schedule III, IV, or V should be made pursuant to
21 CFR, Section 1312.13, parts (a) and (b) or any schedule III through V
nonnarcotic controlled substance as specifically designated by 21 CFR,
Section 1312.30.
Permits when issued will be mailed to the importer at the address shown on
the application unless contrary instructions are received. Application
should be made in the name of the official whose registration is on file
with the Drug Enforcement Administration.
6. Identification of drugs to be imported and the controlled substance
content should be entered on the application in the following manner:
6a. NAME AND QUANTITY OF DRUG OR
PREPARATION TO BE IMPORTED AND NUMBER OF
CONTAINERS 6b. CONTROLLED SUBSTANCE CONTENT OF
DRUG OR PREPARATION TO BE IMPORTED
(expressed as acid, base or alkaloid, not salt)
1 Vial x 0.1 mg Cocaine d3 Cocaine 0.1 mg
1 vial x 5.0 mg Phen-d5-cyclidine HC1 Phencyclidine 4.35 mg
250 Cases containing a total of 15,100 kg Crude
Indian Opium (10% AMA) Opium 1,500 kg AMA
3,600 kg Poppy Straw Concentrate 75-80% AMA Poppy Straw Concentrate 2,700-2,800 kg AMA
6c. The following information must be entered in block 6c of copies 2 and 3
at the time of import:
(1) DEA Import Permit No. and (2) actual quantity and date received. Copy 2
is sent to DEA. Copy 3 is retained by importer.
7. Importers of crude opium, poppy straw, concentrate of poppy straw, and
coca leaves complete this section.
8. If applicable, the scientific uses to which the drug is to be put after
import should be stated briefly, such as:
"For chemical and clinical study of its properties and suitability for
medical distribution."
"For use in laboratory and pilot plant studies of methods of extraction (or
production) of its component alkaloids." Etc.
PRIVACY ACT INFORMATION
Authority: Section 1002 of the Controlled Substances Act of 1970 (PL
91-513).
Purpose: Control importation of certain Controlled Substances into the
United States.
Routine Uses: The Controlled Substances Act Registration Records produces
special reports required for statistical analytical purposes. Disclosures
of information from this system are made to the following categories of
users for the purposes stated:
Other Federal law enforcement and regulatory agencies for law
enforcement and regulatory purposes.
State and local law enforcement and regulatory agencies for law
enforcement and regulatory purposes.
Persons registered under the Controlled Substances Act (Public Law
91-513) for purposes of verifying the registration of customers and
practitioners.
Effect: No permit will be issued.
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 15 minutes per response, 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 FOI and Records Management Section, Drug
Enforcement Administration, Washington, D.C. 20537; and to the Office of
Management and Budget, Paperwork Reduction Project No. 1117-0013,
Washington, D.C. 20503.
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DIVERSION CONTROL DIVISION
U.S. Department of Justice
Drug Enforcement Administration
DIVERSION CONTROL DIVISION
8701 Morrissette Drive
Springfield, VA 22152
1.800.882.9539
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