Rule2025-19325

Controlled Substances Ordering System (CSOS) Modernization

Primary source

Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.

Published
October 2, 2025
Effective
November 3, 2025

Issuing agencies

Justice DepartmentDrug Enforcement Administration

Abstract

This rule is amending the Drug Enforcement Administration's (DEA) regulations to conform to the Controlled Substances Ordering System (CSOS) modernization effort by requiring all CSOS enrollment applications and supporting materials to be submitted through the Diversion Control Division secure online portal. These amendments improve the enrollment process by aligning it with DEA's current requirements for other online form submissions. The online submission of enrollment applications and supporting material through the secure online portal increases the efficiency of the enrollment, modification, and revocation processes, and ensures DEA's receipt of accurate documentation in a more timely and organized manner.

Full Text

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<title>Federal Register, Volume 90 Issue 189 (Thursday, October 2, 2025)</title>
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[Federal Register Volume 90, Number 189 (Thursday, October 2, 2025)]
[Rules and Regulations]
[Pages 47566-47581]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-19325]


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DEPARTMENT OF JUSTICE

Drug Enforcement Administration

21 CFR Part 1311

[Docket No. DEA-732]
RIN 1117-AB79


Controlled Substances Ordering System (CSOS) Modernization

AGENCY: Drug Enforcement Administration, Department of Justice.

ACTION: Final rule.

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SUMMARY: This rule is amending the Drug Enforcement Administration's 
(DEA) regulations to conform to the Controlled Substances Ordering 
System (CSOS) modernization effort by requiring all CSOS enrollment 
applications and supporting materials to

[[Page 47567]]

be submitted through the Diversion Control Division secure online 
portal. These amendments improve the enrollment process by aligning it 
with DEA's current requirements for other online form submissions. The 
online submission of enrollment applications and supporting material 
through the secure online portal increases the efficiency of the 
enrollment, modification, and revocation processes, and ensures DEA's 
receipt of accurate documentation in a more timely and organized 
manner.

DATES: This Final Rule is effective November 3, 2025.

FOR FURTHER INFORMATION CONTACT: Heather E. Achbach, Regulatory 
Drafting and Policy Support Section, Diversion Control Division, Drug 
Enforcement Administration; Telephone: (571) 776-2265.

SUPPLEMENTARY INFORMATION

Legal Authority

    The Controlled Substances Act (CSA) grants the Attorney General 
authority to promulgate rules and regulations relating to: the 
registration and control of the manufacture, distribution, and 
dispensing of controlled substances and listed chemicals; reporting 
changes to professional or business addresses; and the efficient 
execution of his statutory functions.\1\ The Attorney General is 
further authorized by the CSA to promulgate rules and regulations 
relating to the registration and control of importers and exporters of 
controlled substances and listed chemicals.\2\ The Attorney General has 
delegated this authority to the Administrator of DEA.\3\
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    \1\ 21 U.S.C. 821, 822(a), 823, 827 (h), 871(b).
    \2\ 21 U.S.C. 957(a), 958(f).
    \3\ 28 CFR 0.100(b).
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    The CSA defines ``distribute'' as ``to deliver (other than by 
administering or dispensing) a controlled substance or a listed 
chemical'' and ``distributor'' as ``a person who so delivers a 
controlled substance or a listed chemical.'' \4\ The CSA further 
provides that it ``shall be unlawful for any person to distribute a 
controlled substance in schedule I or II to another except in pursuance 
of a written order of the person to whom such substance is distributed, 
made on a form to be issued by the Attorney General in blank in 
accordance with subsection (d) [of 21 U.S.C. 828] and regulations 
prescribed by him pursuant to [21 U.S.C. 828].'' \5\ ``Every person who 
gives an order required under subsection (a) [of 21 U.S.C. 828] shall, 
at or before the time of giving such order, make or cause to be made a 
duplicate thereof on a form to be issued by the Attorney General in 
blank in accordance with subsection (d) [of 21 U.S.C. 828] and 
regulations prescribed by him pursuant to [21 U.S.C. 828], and shall, 
if such order is accepted, preserve such duplicate for a period of two 
years and make it available for inspection and copying. . . . '' \6\ 
``The Attorney General shall issue forms . . . only to persons validly 
registered under [21 U.S.C. 823] (or exempted from registration under 
[21 U.S.C. 822(d)). Whenever any such form is issued to a person, the 
Attorney General shall, before delivery thereof, insert therein the 
name of such person, and it shall be unlawful for any other person (A) 
to use such form for the purpose of obtaining controlled substances or 
(B) to furnish such form to any person with intent thereby to procure 
the distribution of such substances.'' \7\
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    \4\ 21 U.S.C. 802(11).
    \5\ 21 U.S.C. 828(a).
    \6\ 21 U.S.C. 828(c)(2).
    \7\ 21 U.S.C. 828(d)(1).
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Implementation of the CSA Written Order Form Requirement

Paper DEA Form 222

    In 1971 DEA implemented the CSA's written order form requirement by 
publishing a final rule requiring triplicate paper DEA Form 222s.\8\ In 
2019, DEA amended its regulations to create a new single-sheet format 
for the paper DEA Form 222s.\9\ The rule contained transition 
provisions allowing registrants to continue to use their existing 
stocks of the triplicate paper DEA Form 222s until October 30, 
2021.\10\
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    \8\ Regulations Implementing the Comprehensive Drug Abuse 
Prevention and Control Act of 1970, 36 FR 7776, 7797 (Apr. 24, 
1971).
    \9\ New Single-Sheet Format for U.S. Official Order Form for 
Schedule I and II Controlled Substances (DEA Form 222), 84 FR 5395 
(Feb. 21, 2019); New Single-Sheet Format for U.S. Official Order 
Form for Schedule I and II Controlled Substances (DEA Form 222), 84 
FR 51368 (Sept. 30, 2019).
    \10\ 21 CFR 1305.20.
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Electronic DEA Form 222

    In 2005, DEA published a final rule amending its regulations to 
provide an electronic equivalent to the DEA Form 222 (also known as 
CSOS).\11\ The amendments allowed registrants to order schedule I and 
II controlled substances electronically and maintain records of these 
orders electronically. The intent of these amendments was to reduce 
paperwork and transaction times for DEA registrants who sell or buy 
controlled substances.
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    \11\ Electronic Orders for Controlled Substances, 68 FR 38557 
(June 27, 2003), and Electronic Orders for Controlled Substances, 70 
FR 16901, (Apr. 1, 2005).
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Summary of Current CSOS Regulations

    The current CSOS regulations are found in 21 CFR parts 1305 and 
1311. DEA Registrants use CSOS as a secure system to track schedule I 
and II controlled substance orders. The system allows for secure 
electronic controlled substance orders without the need for a paper 
order form (DEA Form 222). Using Public Key Infrastructure (PKI), CSOS 
requires that each individual supplier and purchaser enroll with DEA to 
acquire a CSOS digital certificate. System enhancements allow 
electronic documentation submission, self-service support options, and 
electronic processing of single and bulk applications, renewals, and 
revocations. Users are able to electronically search for, revoke, 
report, retrieve, and renew secure digital certificates.

Purpose of Rule

    Current regulations require registrants who wish to participate in 
the CSOS system to enroll using a labor-intensive manual process which 
relies on paper applications. The paper application must be notarized 
and the package mailed to DEA, creating delays in the enrollment 
process and putting applications at risk of being lost.\12\ The purpose 
of this rule is to simplify the application process by requiring all 
CSOS enrollment applications to be submitted online.\13\ All applicants 
for enrollment will follow the CSOS link on the <a href="http://deadiversion.gov">deadiversion.gov</a> 
website to the CSOS log-in page. From the CSOS log-in page the 
applicant will be redirected to <a href="http://Login.gov">Login.gov</a> for Identification 
Verification. Upon arrival at the site, the applicant will be asked to 
create a <a href="http://Login.gov">Login.gov</a> account by entering a valid email address, selecting 
a default language, and agreeing to <a href="http://Login.gov">Login.gov</a>'s Rules of Behavior. A 
confirmation email will then be sent to the applicant's selected email. 
Once the email has been confirmed, the applicant must create a 
<a href="http://Login.gov">Login.gov</a> password by providing a telephone number to which a 
verification code can be sent. Once the code is sent and the applicant 
enters the given code on the <a href="http://Login.gov">Login.gov</a> website, the applicant must 
agree to the site's security statement. <a href="http://Login.gov">Login.gov</a> next requires 
applicants to upload photographs of one or more forms of identification 
as specified by <a href="http://Login.gov">Login.gov</a> and to enter a Social Security Number, after 
which the applicant is asked to verify the given information. The 
applicant is next asked to re-enter their <a href="http://Login.gov">Login.gov</a> password to receive 
a

[[Page 47568]]

Personal Key by separate message. The applicant is then asked to enter 
that Personal Key and review their information. Upon review of the 
information, the applicant is then directed back to the CSOS website 
for further processing. Upon return to the CSOS website, the applicant 
is asked to agree to the CSOS User Agreement and can apply for one of 
three system user roles (Registrant, Coordinator, or Power of Attorney 
in descending order of superiority) with enrollment requests approved 
or rejected by the superior role. After the Registrant role is 
established, all subordinate applications for enrollment must be 
approved by the Registrant. Upon establishment of a Coordinator, all 
subordinate applications for enrollment for the Power of Attorney role 
must be approved in the system by the responsible Coordinator.
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    \12\ 21 CFR part 1311 et seq.
    \13\ CSOS 2.0 was successfully deployed for public use on 
December 9, 2024.
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    This final rule amends DEA regulations to require electronic 
enrollment through a secure web-based system. Submission through the 
secure online system will be a streamlined process which will benefit 
both DEA and CSOS participants.

Summary of the Notice of Proposed Rulemaking

    On February 2, 2023, the Drug Enforcement Administration (DEA) 
published a Notice of Proposed Rulemaking (hereinafter ``NPRM'') 
proposing to amend DEA's regulations to conform to the CSOS 
modernization effort by requiring CSOS enrollment applications and 
supporting materials to be submitted through the Diversion Control 
secure online portal.\14\ In this rulemaking, DEA is finalizing the 
regulatory text proposed in the NPRM and addressing concerns brought 
forth by commenters.
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    \14\ 88 FR 7033.
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Discussion of Public Comments

    DEA received eight (8) comments in response to the NPRM.\15\ The 
commenters included: the general public, third-party interest groups, 
and an online identity network company. The commenters were mostly 
supportive of the proposed rule. Six (6) commenters supported the new 
system and viewed the proposed rule's modernization effort of CSOS as 
positive. However, one (1) commenter disagreed with the use of 
<a href="http://Login.gov">Login.gov</a> and wanted DEA to align the credential service provider 
requirement to current practices within the healthcare industry that 
coordinates with National Institute of Standards and Technology 
(hereinafter, ``NIST'') IAL2/AAL2 standards. Most of the commenters 
were asking for clarification regarding certain aspects of the proposed 
rule. The comments will be further discussed in detail below.
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    \15\ A total of eight (8) comments were received; however, one 
commenter submitted a duplicate comment.
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Paper DEA Form 222s Should Still Be An Option

    Issue 1: Two (2) commenters expressed concern that the proposed 
rule should continue to allow the use of paper DEA Form 222s as an 
option. Both of the commenters noted that some states still require 
paper forms to transfer controlled substances between a Long-Term Care 
(hereinafter, ``LTC'') pharmacy and emergency kit in a skilled nursing 
facility.
    DEA Response 1: Paper DEA Form 222s will still be an available 
option. The proposed rule will have no impact on the continued 
availability and use of paper DEA Form 222s. DEA is aware of some 
states continuing to require the use of paper DEA Form 222s, and 
therefore, will keep the forms available as an option for the 
distribution of controlled substances.

Transition of Existing Registrants to CSOS 2.0

    Issue 2: Three (3) commenters asked for clarification on how DEA 
intends to transition registrants with existing, active certificates to 
CSOS 2.0.
    DEA Response 2: DEA will transition existing registrants to CSOS 
2.0 by transferring all active certificate holders and their associated 
information to CSOS 2.0. This associated information includes DEA 
number(s), certificate serial numbers, and other aspects. This 
information will be accessible when the user creates an account in the 
new portal. The following fields of active certificate holders are 
being moved into CSOS 2.0: registrant status, renewal instance number, 
application status code, application status date, certificate serial 
number, certificate expiration date, DEA number, individual 
identification, and role. The information that is related to current 
and/or active certificates will not need to be resubmitted.
    Issue 3: Two (2) commenters wanted clarification on whether 
existing and active registrants will have to resubmit information in 
the new online portal.
    DEA Response 3: Current and/or active registrants will not be 
required to re-submit information related to their current and/or 
active certificates.

Receipt of Verification Code

    Issue 4: One (1) commenter asked for clarification as to whether 
the individual accessing the CSOS login page could provide either a 
cellular phone or a landline phone number for the purpose of receiving 
the verification code. This commenter was concerned as cellular phone 
usage is not always available. The commenter also asked for secure 
alternatives to providing the verification code as phone use will not 
always be available for all registrants attempting to utilize the CSOS 
system.
    DEA Response 4: Individuals logging into CSOS will receive a 
verification code. CSOS registrants have the option of receiving the 
verification code through OKTA Verify,\16\ Google Authenticator, and 
email. OKTA Verify has recently discontinued the phone option. As a 
result, cell phones or land phones are no longer an option.
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    \16\ OKTA Verify is a multifactor authentication application 
that enables users to confirm their identity. <a href="https://help.okta.com/en-us/content/topics/mobile/okta-verify-overview.htm">https://help.okta.com/en-us/content/topics/mobile/okta-verify-overview.htm</a>.
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Features of CSOS

    Issue 5: One (1) commenter sought clarification regarding the 
implementation of the electronic application submission process. 
Specifically, the commenter asked if the user will be notified upon 
login to the site that they have reached their two opportunities for 
online renewal before the certificate expires and now need to submit a 
new application.
    DEA Response 5: Currently, the portal does not show that an 
individual has reached his or her two opportunities to renew online 
before the certificate expires. The DEA will continue working towards 
incorporating this feature in a future update to the portal.
    Issue 6: One (1) commenter asked whether the Coordinator(s) will be 
notified that the subordinate's application for enrollment for the 
Power of Attorney role is ready for review and approval by the 
Coordinator, as required by the rule and if so, how.
    DEA Response 6: All users in the system will have full visibility 
into their actions pending review and approval. Approvers will receive 
email notifications of pending approvals. The Coordinator will be 
notified via email that the subordinate's application for enrollment 
for the Power of Attorney role is ready for review and approval.
    Issue 7: One (1) commenter asked DEA for a live chat option for 
registrants to contact DEA regarding enrollment issues, and the option 
to receive an email transcript of said chat conversation.

[[Page 47569]]

    DEA Response 7: Currently, this option is unavailable; however, 
this feature can be considered in a future upgrade. A new feature to 
CSOS will be an email option that generates a ticket number and assigns 
a time frame wherein a help desk representative will respond.

Implementation

    Issue 8: One (1) commenter asked for DEA to further explore and 
clarify the implementation process.
    DEA Response 8: The implementation and transition processes are 
being finalized. Prior to the launch date, informational announcements 
previewing new functionality, pertinent dates, and online application 
instructions will be provided to DEA registrants via email and on the 
DEA Diversion website. An email will be sent to users providing them 
with a website link. The email will come from <a href="http://deaecom.gov">deaecom.gov</a>, which is a 
verified government email address, from which CSOS and DEA participants 
have received emails in the past. The email will only be sent in 
response to action taken by the participant, not initiated by DEA. 
These measures are sufficient for users to recognize valid 
communications from DEA. The website will provide the users with 
instructions. Users will be informed when the new process will go into 
effect as well as what steps users will need to take. Current users 
will continue utilizing the login page as they did in the past. Current 
users are not required to act until the time of renewal. There will be 
a pre-launch date that will enable users to perform the <a href="http://Login.gov">Login.gov</a> 
identity verification process prior to creating a CSOS account. When 
CSOS 2.0 is launched, current users will be able to create accounts as 
well as take advantage of the new self-service features.
    Issue 9: One (1) commenter asked whether DEA would take steps to 
remedy registrants experiencing excessive hold times when calling the 
CSOS help desk, and whether DEA would further staff the help desk with 
individuals that can resolve the problem as opposed to someone that 
records and relays information to the support team.
    DEA Response 9: The newly automated system will allow subscribers 
to complete tasks independently on the portal that, under the current 
system, required users to call the help desk. This will greatly lower 
the number of calls made to the help desk. As a result, hold times will 
be significantly diminished. The call center operators are increasingly 
being cross-trained to handle CSOS and general registration requests. 
Call center operators had their initial training session and are in the 
process of reviewing a training manual. There is a training site for 
them to utilize as well.
    Issue 10: One (1) commenter wanted to see improvements with the 
CSOS certificate retrieval process as the retrieval process is time 
consuming and difficult. The commenter asked DEA to standardize and 
streamline the CSOS certificate retrieval process, particularly with 
pharmacy chains. This commenter urged DEA to create an automated 
process in which the passwords for CSOS certificate retrieval can be 
uploaded into the certificate retrieval system. Furthermore, the 
commenter asked DEA to update its software to eliminate the need for 
passwords to be issued in text files, and that the automated process 
allow a user to be logged in for extended periods of time.
    DEA Response 10: A modernized retrieval process will be a part of a 
later upgrade to the portal. DEA has taken this comment into 
consideration for future upgrades to the system.

Credential Service Provider and Identity Proofing Security

    Issue 11: One (1) commenter stated that DEA should strike <a href="http://Login.gov">Login.gov</a> 
from its purpose statement and align the credential service provider 
(hereinafter, ``CSP'') requirement to current practices within the 
healthcare industry, i.e., credentials aligned with NIST IAL2/AAL2 
standards. This commenter also stated that DEA should enable providers 
to use portable, digital credentials they already have for CSOS access 
by providing multiple CSP solutions selected through a competitive 
procurement process.
    DEA Response 11: The use of additional CSPs may be a future 
enhancement. <a href="http://Login.gov">Login.gov</a> will conduct identity proofing, and DEA will 
continue as the Certification Authority. <a href="http://Login.gov">Login.gov</a> does not meet the 
standard of NIST IAL2/AAL2; however, <a href="http://Login.gov">Login.gov</a> meets the IAL1/AAL1 
standard. Following the standards of NIST IAL1/AAL1 is sufficient for 
CSOS 2.0 as <a href="http://Login.gov">Login.gov</a> conducts additional verification procedures 
similar to those used by financial institutions. Alignment with NIST 
IAL2/AAL2 may be an enhancement in the future.
    Issue 12: One (1) commenter wanted clarification regarding the 
notary requirement, and which free online verification method will be 
used. The ``Purpose of Rule'' section of the NPRM discusses the use of 
<a href="http://Login.gov">Login.gov</a>, which the commenter states does not appear to be an identity 
proofing service. Further the commenter wanted clarification as to 
whether ID.me is the identity proofing service that will be used, as 
other government agencies mention the use of <a href="http://Login.gov">Login.gov</a>, but indicate 
ID.me is the actual identity proofing service.
    DEA Response 12: The Technology Transformation Services within the 
General Services Administration operates a system, <a href="http://Login.gov">Login.gov</a>, which 
provides authentication and identity verification services to federal 
agencies. DEA will use <a href="http://Login.gov">Login.gov</a> for authenticating users and verifying 
identity. ID.me is not the identity proofing service that will be used. 
<a href="http://Login.gov">Login.gov</a> conducts identity proofing, and no payment is required by the 
applicant during the <a href="http://Login.gov">Login.gov</a> or CSOS account creation. Federal 
agencies are responsible for ensuring that users are properly 
authenticated and identified before accessing services, benefits, and 
other resources. <a href="http://Login.gov">Login.gov</a> provides these capabilities as a shared 
service to agencies on a cost reimbursable basis. Strong authentication 
requires each account to be protected by a multi-factor option, which 
increases account security. Identity verification requires users to go 
through an identity proofing process to confirm that the user is who 
the user claims to be. This process may include, but is not limited to, 
a combination of digital technologies, government and commercial data 
sources, and in-person interactions to check identifying documents and 
evidence. <a href="http://Login.gov">Login.gov</a> offers other settings for authentication, including 
requiring a user-provided second factor for authentication each time a 
user authenticates. This setting is required for identity verification 
and authentication-only services that use personal data.
    Issue 13: One (1) commenter asked for clarification on whether the 
free online verification service is a hosted or cloud-based service, 
and what the level of assurance is compared with the level of assurance 
of the current process.
    DEA Response 13: There is no payment requirement for the applicant 
during account creation for <a href="http://Login.gov">Login.gov</a> and CSOS 2.0. <a href="http://Login.gov">Login.gov</a> is cloud-
based. After analyzing alternative solutions, <a href="http://Login.gov">Login.gov</a> was selected as 
the preferred solution, based on comprehensive service offerings and 
competitive pricing. The level of assurance of the new process is 
comparable to the current process. The level of assurance with the 
current process involves a notary requirement. The <a href="http://Login.gov">Login.gov</a> system 
that is going to be used for CSOS 2.0 is at the IAL1/AAL1 assurance 
level. DEA determined that the IAL1/AAL1 assurance level plus 
additional verification procedures similar to those

[[Page 47570]]

used in financial institutions is comparable to the current process. 
The use of CSPs and alignment with NIST IAL2/AAL2 may be a future 
enhancement.
    Issue 14: Two (2) commenters were concerned with the level of 
assurance or security of the process that will be implemented.
    DEA Response 14: The assurance level for CSOS 2.0 is at IAL1/AAL1, 
which includes additional verification procedures similar to those used 
by financial institutions conducted by <a href="http://Login.gov">Login.gov</a>. The assurance level 
of IAL1/AAL1 was deemed sufficient due to the additional verification 
procedures that <a href="http://Login.gov">Login.gov</a> conducts.
    Issue 15: One (1) commenter discussed how currently, two copies of 
identification are needed for obtaining a CSOS digital certificate 
under 21 CFR 1311.25(a)(1). The commenter asked DEA to provide 
clarification as to what the new process will encompass as the proposed 
change states to ``complete the online verification proofing process.''
    DEA Response 15: Applicants should be prepared to provide the 
following information: state issued identification, email, phone bill 
details, and a verified address. Social Security Numbers are being 
collected during the <a href="http://Login.gov">Login.gov</a> registration process, but are not being 
passed, transferred, or stored within CSOS 2.0.

Online Portal

    Issue 16: One (1) commenter asked for clarity on what the online 
registration process will look like through the secure online portal. 
This commenter further asked for clarification if it will be a web-
based form with the same exact fields as the current paper DEA Forms 
251, 252, 253, and 254.
    DEA Response 16: DEA will update the CSOS user guide with 
screenshots of the new portal prior to launch. The new portal uses web-
based forms that require the same information as on the paper forms.
    Issue 17: One (1) commenter asked whether the secure online portal 
will be cloud-based and what kind of security will be implemented.
    DEA Response 17: The online portal is a FedRAMP government cloud-
based solution with multifactor implementation. FedRAMP is a certified 
system and is a government-wide program that promotes the adoption of 
secure cloud services across the federal government by providing a 
standardized approach to security assessment, authorization, and 
continuous monitoring for cloud products and services. FedRAMP provides 
a standardized approach to security authorizations for Cloud Service 
Offerings.

Coordinator

    Issue 18: One (1) commenter asked for clarification for the reason 
of removal of the coordinator from the process in 21 CFR 1311.25, as 
the coordinator seems to have a significant security role in limiting 
who can apply for a CSOS digital certificate.
    DEA Response 18: DEA is not removing the Coordinator role from the 
process in 21 CFR 1311.25. The individuals who are acting in the 
Coordinator role will be able to review and approve and/or deny 
applications in the online portal. <a href="http://Login.gov">Login.gov</a> does the identification 
proofing on all subscriber applications; therefore, the Coordinator 
will no longer be tasked with verifying and approving submitted 
documentation for Power of Attorney applications. The requirement for 
the application to be notarized and physically mailed to DEA will be 
removed with the amending of the regulations.
    Previously, the Principal Coordinator was responsible for identity 
proofing all applications submitted under a respective DEA 
registration. Although all applicants will now be verified and 
authenticated online, the Principal Coordinator remains an integral 
part of the application process. Once a Principal Coordinator is 
designated by the registrant, the Principal Coordinator will be 
involved in the issuance of, revocation of, and changes to digital 
certificates issued under that registrant's DEA registration and can 
approve subsequent applications submitted for the Power of Attorney 
role. The Principal Coordinator role will continue to provide security 
and certificate oversight.
    Issue 19: One (1) commenter asked for clarification on how the 
Coordinator informs the Certification Authority of all digital 
certificate applications, and how the process will work with the 
Coordinator for approving applicants applying for a Power of Attorney 
certificate.
    DEA Response 19: The Coordinator will receive an automatic email 
from CSOS 2.0 requesting that the Coordinator review and approve 
requests for the Power of Attorney role triggering issuance of the 
certificate. Coordinators use the portal to revoke certificates of 
subscribers they oversee and to approve or reject new Power of Attorney 
role requests and certificate renewals. Powers of Attorney submit these 
requests independently, which then go to the Coordinator to approve or 
reject the request. The Coordinator no longer needs to provide a 
signature on the application for submission of the request.
    Issue 20: One (1) commenter stated that 21 CFR 1311.20 and 1311.25 
have been changed in a way so that the Coordinator no longer has to 
send a copy of the DEA Form 223 \17\ to the CSOS Registration 
Authority. This commenter discussed how the NPRM proposed to remove 
language stating that the Coordinator is responsible for verifying the 
applicant's identity in 21 CFR 1311.20, as well as the Coordinator 
reviewing the application package, and the Coordinator submitting the 
completed package to the Certification Authority. Finally, the 
commenter asked for clarification regarding the purpose of the changes, 
and how security will be impacted.
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    \17\ DEA form 223 is the Certificate of Registration, which 
contains ``the name, address, and registration number of the 
registrant, the activity authorized by the registration, the 
schedules and/or Administration Controlled Substances Code Number 
(as set forth in part 1308 of this chapter) of the controlled 
substances which the registrant is authorized to handle, the amount 
of fee paid (or exemption), and the expiration date of the 
registration.'' 21 CFR 1301.35(c).
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    DEA Response 20: The purpose of the change is to enable online 
registration for CSOS 2.0. DEA numbers will be validated during account 
creation. Coordinator applications will require approval by the 
registrant.
    CSOS 2.0 will directly access DEA's registration database and 
review current DEA Form 223 status electronically, which will eliminate 
the need for the paper document. Due to this development, advanced 
security measures have been implemented.
    When a registrant enrolls in CSOS 2.0, identity verification 
services will be provided by <a href="http://Login.gov">Login.gov</a>. <a href="http://Login.gov">Login.gov</a> will collect a photo 
of a government issued ID and other personal identifiable information 
(including, but not limited to, full name, date of birth, mailing 
address, phone number, and Social Security Number or Individual 
Taxpayer Identification Number). <a href="http://Login.gov">Login.gov</a> will also validate the 
information submitted by the user with authoritative data sources. 
Depending on the information entered, the system will also perform one 
of the following: (1) sending a text message or call with a code to the 
phone number associated with the user, or (2) receiving a one-time code 
using face or touch unlock, security key, or third-party authentication 
applications such as OKTA Verify, and/or Google Authenticator. The user 
will need to provide this code to <a href="http://Login.gov">Login.gov</a> in order to complete 
<a href="http://Login.gov">Login.gov</a>'s identity verification process. If the user was

[[Page 47571]]

successfully verified and provides consent, DEA may receive the user's 
attributes at the time of authentication. If the user was unable to 
successfully verify their identity, they will retain their account for 
authentication services.
    Identity verification services may also involve in-person 
supervision and remote supervision of the user during the process, such 
as when <a href="http://Login.gov">Login.gov</a> is unable to collect a photo of their government-
issued ID, or other methods of verification such as inheriting 
credentials from an agency partner. In amending its regulations to 
transfer all paper applications for CSOS ordering to electronic 
submissions, the requirement for the application to be notarized and 
physically mailed to DEA will be removed. Previously, the Principal 
Coordinator role was responsible for identity-proofing all applications 
submitted under a respective DEA registration. As proposed, all 
applicants will be verified and authenticated online, however the 
Principal Coordinator remains an integral part of the application 
process. Once a Principal Coordinator is designated by the registrant, 
the Principal Coordinator will be involved in the issuance of, 
revocation of, and changes to digital certificates issued under that 
registrant's DEA registration and can approve subsequent applications 
submitted for the Power of Attorney role. The Principal Coordinator 
role will continue to provide security and certificate oversight.

Call Center Wait Times

    Issue 21: One (1) commenter provided the following call center wait 
time calculations: savings to industry seems to represent a 94% 
reduction in DEA call center demand. Old process = (90 minutes per new 
application x 31,372 new applications per year) + (90 minutes per 
renewal x 62,344 renewals per year) = 8,434,440 minutes. New process = 
(15 minutes per new application x 31,372 new applications per year) + 
(0 minutes per renewal x 62,344 renewals per year) = 470,580. With the 
estimated numbers of new and renewal applications being found in DEA's 
Executive Order (E.O.) 12866 section. The commenter wanted DEA to 
confirm whether these calculations were correct.
    DEA Response 21: The commenter seems to have misunderstood the 
calculation and DEA also notes that the commenter appears to have 
mistyped the number of new applications. As detailed in the Executive 
Order (E.O.) 12866 section below, DEA estimates there will be labor 
cost savings from reduced time to complete a new application. DEA 
estimates that the current time to complete a new application is three 
hours, which includes an estimated 1.5 hours to prepare and provide the 
necessary information and 1.5 hours calling DEA for assistance or to 
check the status of the application. Under the proposed final rule, 
while an applicant is expected to require the same 1.5 hours to prepare 
and provide the necessary information, the online system will allow 
self-viewing of status, reducing the need for or duration of calls to 
DEA. DEA estimates the required time to complete a new application 
would be 1.75 hours, including an estimated 0.25 hours for logging in 
to the CSOS system or calls to DEA for assistance. The commenter's 
calculation would instead be correct as follows: Old process = (180 
minutes per new application x 31,172 per year) + (90 minutes per 
renewal x 62,344 per year) = 11,221,920 minutes. New process = (105 
minutes per new application x 31,172 per year) + (15 minutes per 
renewal x 62,344 per year) = 4,208,220.

Audits and Testing

    Issue 22: One (1) commenter stated that third-party vendors of CSOS 
software are required to go through audits. This commenter asked DEA 
whether audits will be required of any third-party software 
contemplated for use in this modernized registration process.
    DEA Response 22: DEA does not anticipate the use of any third-party 
software for the modernized registration process.
    Issue 23: One (1) commenter inquired as to how the modernized 
system will be tested and whether there will be industry involvement in 
testing.
    DEA Response 23: DEA performs ongoing, continual, and extensive 
testing to include: regression, performance, security, and user 
acceptance. DEA is considering opportunities for industry involvement.

Bulk Enrollment

    Issue 24: One (1) commenter asked for clarification as to whether 
the CSOS 2.0 enrollment processes will continue to accommodate bulk 
enrollment (i.e., the enrollment of multiple registrants under a single 
applicant, as occurs with chain pharmacy organizations).
    DEA Response 24: DEA's CSOS online portal will continue to 
accommodate bulk enrollment. CSOS 2.0 will enable subscribers to 
complete the bulk enrollment process directly online, which will 
simplify the process.
    Issue 25: One (1) commenter asked DEA to assign specialists for 
each pharmacy organization that uses bulk enrollment.
    DEA Response 25: It is anticipated that these updates to CSOS will 
mitigate the need for DEA assistance, as the bulk renewal will be done 
online directly by the subscriber. As such, DEA does not anticipate a 
need to assign specialists for each pharmacy organization that uses 
bulk enrollment. In the event that assistance is required, the 
Diversion Control Contact Center Operators (help desk) will be 
available 8:30 a.m.-5:50 p.m. EST, Monday through Friday.

Power of Attorney

    Issue 26: One (1) commenter asked for clarification as to whether 
individuals who have been granted the Power of Attorney authority for 
DEA registration purposes can serve in the role of the registrant for 
CSOS purposes and could therefore designate CSOS coordinators.
    DEA Response 26: Individuals who have been granted Power of 
Attorney authority for DEA registration purposes can also serve in the 
role as the registrant coordinator for CSOS purposes, if such role is 
authorized through an executed Power of Attorney.
    An applicant for a DEA number may authorize one or more individuals 
to sign applications for the applicant by filing a Power of Attorney 
for each such individual.\18\ A DEA registrant may also execute a Power 
of Attorney to authorize one or more individuals to issue orders for 
Schedule I and Schedule II controlled substances on behalf of the 
registrant.\19\
---------------------------------------------------------------------------

    \18\ 21 CFR 1301.13(j) (May 11, 2022).
    \19\ 21 CFR 1305.05(a) (Oct. 30, 2019).
---------------------------------------------------------------------------

    A DEA registrant may execute a Power of Attorney that designates an 
individual as the registrant coordinator for said registrant's 
respective DEA registration number, once this individual enrolls 
through the CSOS 2.0 portal. The registrant coordinator may designate 
an individual as the Principal Coordinator over the CSOS 
certifications. This individual designated as the Principal Coordinator 
can assign himself or another as the Principal Coordinator for CSOS.

Discussion of Regulatory Changes

Need for Regulatory Changes

    Regulatory changes are needed to conform existing DEA regulations 
regarding the submission of paper CSOS system enrollment forms to DEA's 
current requirements that other DEA

[[Page 47572]]

forms be submitted online.\20\ The paper enrollment process is prone to 
errors, creates wasteful and unnecessary paper records, requires manual 
processing, and leads to hard copy records that are expensive to 
process and store. This rule amends existing DEA regulations in one 
part--Title 21 Chapter II Part 1311. DEA is amending 21 CFR 1311 to 
require all CSOS enrollment applications and supporting materials to be 
submitted to DEA through the CSOS secure network portal. This amendment 
improves the submission process by aligning it with DEA's current 
policy of reducing and/or eliminating the reliance on wasteful paper 
applications and expediting enrollment by utilizing modern technology. 
The online submission of applications and supporting materials through 
the secure database will ensure DEA's receipt of documentation in a 
more timely and organized manner.
---------------------------------------------------------------------------

    \20\ See Reporting of Theft or Significant Loss of Controlled 
Substances, 88 FR 40707 (June 22, 2023) (published Final Rule to 
require all DEA Form 106s to be submitted electronically); 
Suspicious Orders of Controlled Substances, 85 FR 212 (Nov. 2, 2020) 
(published NPRM proposing centralized electronic reporting for 
suspicious order reports based on Congressional mandate); Agency 
Rule List--Spring 2021 (2021), <a href="https://www.reginfo.gov/public/do/eAgendaMain?operation=OPERATION_GET_AGENCY_RULE_LIST&currentPub=true&agencyCode=&showStage=active&agencyCd=1100&csrf_token=F19C7C599C70B80C228EC16B60AEB150F6339AF3C80E56FE003EEB7D3A758895BC8E16A215E8A0466326EBFBA8639F799E09">https://www.reginfo.gov/public/do/eAgendaMain?operation=OPERATION_GET_AGENCY_RULE_LIST&currentPub=true&agencyCode=&showStage=active&agencyCd=1100&csrf_token=F19C7C599C70B80C228EC16B60AEB150F6339AF3C80E56FE003EEB7D3A758895BC8E16A215E8A0466326EBFBA8639F799E09</a> (Spring 2021 Unified Agenda of Regulatory and 
Deregulatory Actions, Active Regulatory Actions Listed By Agency, 
Agency Rule list noting proposed rule stage for Electronic 
Submission of DEA Form 41 (Registrant Record of Controlled 
Substances Destroyed)--1117-AB59).
---------------------------------------------------------------------------

Section-by-Section Analysis

    DEA is amending 21 CFR 1311.20, 1311.25, 1311.40, and 1311.60 by 
eliminating the ability of registrants to submit paper CSOS enrollment 
application forms. Registrants will be required to submit all their 
application materials through the secure online portal. Moreover, DEA 
is amending these regulations by eliminating certain recordkeeping 
requirements, as those records will now be accessible as a digital 
version in the system. DEA believes these amendments will expedite the 
enrollment process for registrants and facilitate the Agency-wide goal 
of reducing DEA's reliance on paper forms.
    DEA is amending 21 CFR 1311.20, which describes the role and 
responsibilities of the CSOS Coordinator. Current regulations require 
the CSOS Coordinator to complete the paper application process by 
submitting the notarized enrollment package to the DEA Certification 
Authority for processing. This amendment streamlines the process by 
eliminating the paper process and requiring Coordinator applicants to 
enroll using the secure online portal.
    Additionally, DEA is amending 21 CFR 1311.25, which establishes the 
requirements for a registrant, or authorized representative with a 
Power of Attorney, to complete the manual application process by 
submitting the notarized enrollment package to the DEA Certification 
Authority for processing. This amendment streamlines the process by 
eliminating the manual paper process and requiring all registrants, or 
authorized representatives with Powers of Attorney, to enroll using the 
secure online portal.
    DEA is also amending 21 CFR 1311.40, which establishes the criteria 
for renewal of a CSOS digital certificate. This amendment streamlines 
the renewal process by eliminating the manual paper process and 
requiring that all renewal applications be submitted using the secure 
online portal.
    Last, DEA is amending 21 CFR 1311.60, which establishes 
recordkeeping requirements on the part of the CSOS certificate holder 
by requiring that a copy of the subscriber agreement be maintained for 
the life of the certificate. This amendment removes the requirement of 
the CSOS certificate holder to maintain a copy of the subscriber 
agreement by enabling registrants to sign and access a digital version 
of the agreement in the online portal.

Regulatory Analyses

Executive Orders 12866, 13563, and 14192 (Regulatory Review)

    DEA has determined that this rulemaking is not a ``significant 
regulatory action'' under section 3(f) of Executive Order (E.O.) 12866, 
Regulatory Planning and Review. Accordingly, this proposed rule has not 
been submitted to the Office of Management and Budget (OMB) for review. 
This proposed rule has been drafted and reviewed in accordance with 
E.O. 12866, ``Regulatory Planning and Review,'' section 1(b), 
Principles of Regulation; E.O. 13563, ``Improving Regulation and 
Regulatory Review,'' section 1(b), General Principles of Regulation; 
and E.O. 14192 ``Unleashing Prosperity Through Deregulation.''

Analysis of Benefits, Costs/Cost Savings

    Current regulations require registrants who wish to participate in 
the CSOS system to enroll using a labor-intensive manual process which 
relies on paper applications. This final rule amends DEA regulations to 
require electronic enrollment through a secure web-based system.
    The current regulations related to CSOS enrollment are summarized 
below.
    (1) 21 CFR 1311.20(b)-(c) requires Coordinators to enroll in 
writing.
    (2) 21 CFR 1311.25(a)-(b) requires a registrant, or authorized 
representative with a Power of Attorney, to enroll in writing.
    (3) 21 CFR 1311.40(c)-(d) requires submitting a new application in 
writing for every third renewal and for expired certificates.
    (4) 21 CFR 1311.60(c) requires maintaining a copy of the 
subscription agreement for the life of the certificate.
    The final rule would change these requirements to the following.
    (1) 21 CFR 1311.20(b)-(c) requiring Coordinators to enroll online.
    (2) 21 CFR 1311.25(a) (with (b) removed) requiring all registrants, 
or authorized representative with a Power of Attorney, to enroll 
online.
    (3) 21 CFR 1311.40(c)-(d) requiring, for every third renewal and 
expiration, a new application online.
    (4) 21 CFR 1311.60(c), removing this provision to allow electronic 
subscription agreements to be held online and no longer requiring a 
paper copy be maintained.
    Table 1 summarizes the changes from current regulations to the 
final rule.

       Table 1--Summary of Current Regulations and the Final Rule
------------------------------------------------------------------------
       21 CFR location                Current             Final rule
------------------------------------------------------------------------
1311.20(b)-(c)...............  Requires              Will require
                                Coordinators to       Coordinators to
                                enroll in writing.    enroll online.
1311.25(a)-(b)...............  Requires a            Will require all
                                registrant, or        registrants, or
                                authorized            authorized
                                representative with   representatives
                                a Power of            with Powers of
                                Attorney, to enroll   Attorney, to
                                in writing.           enroll online.

[[Page 47573]]

 
1311.40(c)-(d)...............  Requires submitting   Will require, for
                                a new application     every third
                                in writing, for       renewal and
                                every third renewal   expiration, a new
                                and for expired       application
                                certificates.         online.
1311.60(c)...................  Requires maintaining  (Removal) will
                                a copy of the         allow subscription
                                subscription          agreements to be
                                agreement..           held online and no
                                                      longer require a
                                                      copy be
                                                      maintained.
------------------------------------------------------------------------

    DEA has examined the benefits and costs/cost savings of this final 
rule and believes it is of net positive economic benefit. DEA believes 
the cost savings to registrants, as well as DEA, heavily outweigh any 
cost to DEA associated with implementing and maintaining the necessary 
computer systems to allow for online enrollment and renewal to CSOS.

Affected Parties and Number of CSOS Applications

    This final rule will affect registrants who wish to participate in 
the CSOS system, and DEA. A registrant, designated person, or an 
authorized representative, who wishes to enroll in the CSOS system can 
apply for one of three system user roles: Registrant, Coordinator, or 
Power of Attorney. New and renewal enrollment applications are 
submitted online. DEA processes the applications in addition to 
operating and maintaining the systems used in the enrollment and 
certificate management process. The economic impact of this final rule 
is a function of changes in requirement for each CSOS enrollment 
application and the estimated number of applications.
    Each year, DEA receives a mix of new and renewal applications for 
enrollment. In 2021, DEA received 31,172 new applications. These 
applications include 11,411; 6,974; and 12,787 new applications for 
Registrant, Coordinator, and Power of Attorney roles, respectively. For 
every third renewal, the CSOS certificate holder must submit a new 
application.\21\ Therefore, for the purposes of this analysis, a third 
renewal is considered as a new application. Based on this renewal 
requirement, DEA estimates that new applications are approximately one-
third of total applications and the number of renewals is approximately 
twice the number of new applications. Therefore, DEA estimates there 
were 62,344 renewal applications for a total of 93,516 (31,172 + 
62,344) total applications in 2021.
---------------------------------------------------------------------------

    \21\ 21 CFR 1311.40(c).
---------------------------------------------------------------------------

    As pharmacies are the largest registration business activity that 
participate in CSOS, representing approximately 73 percent of CSOS 
registered locations,\22\ DEA believes the growth in the number of 
pharmacies registered with DEA represents a good proxy for the growth 
of CSOS-participating registrants, and the number of CSOS applications 
for enrollment.
---------------------------------------------------------------------------

    \22\ Source: DEA.
---------------------------------------------------------------------------

    The number of DEA registered pharmacies has declined from 72,353 in 
2015 to 70,628 in 2019 and has roughly stayed constant, with no growth, 
from 2019 to 2021, with 70,789 and 70,670 pharmacy registrations in 
2020 and 2021, respectively. So, DEA believes that zero net growth in 
CSOS applications is a reasonable estimate. Therefore, DEA estimates 
the numbers of applications will stay constant at 31,172 new and 62,344 
renewal, for a total of 93,516 applications, over the 10-year analysis 
period.

Registrant Impact

New Applications
    Below is a description of the estimated impact of the final rule on 
new enrollment applications for Registrant, Coordinator, and Power of 
Attorney roles.
    1. Time to Complete New Application: DEA estimates there will be 
labor cost savings from reduced time to complete a new application. DEA 
estimates that the current time to complete a new application is three 
hours, which includes an estimated 1.5 hours to prepare and provided 
the necessary information and 1.5 hours calling the DEA for assistance 
or status of application. Under the final rule, while an applicant is 
expected to require the same 1.5 hours to prepare and provide the 
necessary information, the online system will allow self-viewing of 
status, reducing the need or duration of calls to DEA. DEA estimates 
the required time to complete a new application would be 1.75 hours, 
including an estimated 0.25 hours for logging to CSOS system or calls 
to DEA for assistance. Using a loaded hourly rate of $93.02 for 
Pharmacists,\23\ \24\ \25\ the labor cost would decrease from $282.06 
($94.02 x 3) to $164.54 ($94.02 x 1.75), resulting in an estimated cost 
savings of $117.52 ($282.06-$164.54) per application.
---------------------------------------------------------------------------

    \23\ U.S. Bureau of Labor Statistics (BLS), Occupational 
Employment and Wages, May 2024, 29-1051 Pharmacists. <a href="https://data.bls.gov/oes/#/industry/000000">https://data.bls.gov/oes/#/industry/000000</a>. (Accessed 5/22/2024.).
    \24\ BLS, ``Employer Costs for Employee Compensation--March 
2025'' (ECEC).
    \25\ As pharmacies represent a large majority of CSOS 
participants and pharmacists are expected to be the most prevalent 
CSOS users, DEA believes pharmacists wages therefore represent a 
good estimate of the wage for all applicants. BLS reports that the 
median wage of pharmacists is $66.10. BLS also reports that average 
benefits for private industry is 29.5 percent of total compensation. 
The 29.5 percent of total compensation equates to 42.24 percent 
(29.7 percent/70.3 percent) load on wages and salaries. The load of 
42.24 percent is added to each of the hourly rates to estimate the 
loaded hourly rates. $66.1 x 1.4224 = $94.02.
---------------------------------------------------------------------------

    2. Postage Cost: Under current regulations paper application forms 
and supporting information need to be shipped to DEA. The final rule 
will eliminate the need to ship paper applications. Not having to ship 
the enrollment package is estimated to reduce postage costs by $13.27 
per application.\26\
---------------------------------------------------------------------------

    \26\ FedEx Ground rates for a one-pound package using zone five, 
effective January 6, 2025 and downloaded on 5/22/2025.
---------------------------------------------------------------------------

    3. Notary Cost: Under current regulations, a new application for a 
Registrant or a Coordinator role requires a notary. The final rule will 
eliminate the notary requirement. Not having to get a notary (due to 
online verification methods is expected to eliminate an estimated 
notary cost of $5.00 per enrollment package.\27\ The notary requirement 
only applies to Registrant and Coordinator roles, and as discussed 
earlier, of the estimated 31,172 total new applications, 11,411 and 
6,974 are for Registrant and Coordinator, respectively, making up 59 
percent ((11,411 + 6,974)/31,174) of total registrations. Therefore, 59 
percent of $5.00, $2.95 is the average notary cost savings for all new 
applications.
---------------------------------------------------------------------------

    \27\ National Notary Association, ``2025 Notary Fees by State''. 
<a href="https://www.nationalnotary.org/knowledge-center/about-notaries/notary-fees-by-state">https://www.nationalnotary.org/knowledge-center/about-notaries/notary-fees-by-state</a> (accessed 5/22/2025). Notary fees can range 
from $2 to $25. DEA has decided to use $5 as its estimate of notary 
fees. DEA believes many applicants can get documents notarized at 
low costs, i.e., at banks, employees with public notary, etc.
---------------------------------------------------------------------------

    4. Agreement Storage Costs: Under current regulations, a CSOS 
certificate holder is required to maintain a copy of the subscriber 
agreement. The final rule will eliminate this requirement. DEA does not 
believe there is a material

[[Page 47574]]

impact from not having to store written subscription agreements and 
having them be stored online in CSOS.
    Table 2 summarizes the impact of the final rule for new 
applications.

                                   Table 2--Registrant Impact: New Application
----------------------------------------------------------------------------------------------------------------
                                                                                                   Cost savings
                                                                   Current  ($)      New  ($)           ($)
----------------------------------------------------------------------------------------------------------------
Labor cost per New app..........................................          282.06          164.54          117.52
Postage cost per New app........................................           13.27  ..............           13.27
Cost of notary per New app......................................            2.95  ..............            2.95
                                                                 -----------------------------------------------
    Total new application.......................................  ..............  ..............          133.74
----------------------------------------------------------------------------------------------------------------

Renewal Applications
    Below is a description of the estimated impact of the final rule on 
renewal enrollment applications for Registrant, Coordinator, and Power 
of Attorney roles.
    1. Time Spent Requested Renewal: DEA estimates there will be labor 
cost savings from reduced time to complete a renewal application. DEA 
estimates that the time spent requesting a renewal will fall from 1.5 
hours using the phone method to 0.25 hours using the online method. 
Using a loaded hourly rate of $94.02 for Pharmacists,\28\ the labor 
cost would decrease from $141.03 ($94.02 x 1.5) to $23.51 ($94.02 x 
0.25), resulting in an estimated cost savings of $117.52 ($141.03-
$23.51) per application.
---------------------------------------------------------------------------

    \28\ Note 17.
---------------------------------------------------------------------------

    Table 3 summarizes the impact of the final rule for renewal 
applications.

                                Table 3--Registrants Impact--Renewal Applications
----------------------------------------------------------------------------------------------------------------
                                                                                                   Cost savings
                                                                 Current  ($)       New  ($)           ($)
----------------------------------------------------------------------------------------------------------------
Labor cost per Renewal app...................................          141.03            23.51           117.52
----------------------------------------------------------------------------------------------------------------

Total Registrant Impact

    The total registrant cost savings is $11,495,610 per year, 
calculated by multiplying the cost of a new and renewal application by 
the number of new and renewal applications. Table 4 details the 
calculation.

                    Table 4--Total Registrant Impact
------------------------------------------------------------------------
 
------------------------------------------------------------------------
Number of new applications.....................                   31,172
Number of renewal applications.................                   62,344
                                                ------------------------
    Number of total applications...............                   93,516
Cost savings per new application ($)...........                   133.74
                                                ------------------------
    Subtotal, all new applications ($).........                4,168,943
Cost savings per renewal application ($).......                   117.52
                                                ------------------------
    Subtotal, all renewal applications ($).....                7,326,667
                                                ------------------------
        Total cost savings to registrants ($)..               11,495,610
------------------------------------------------------------------------

Additional Benefits

    There are additional benefits of the final rule. These include:
    (1) Shorter end-to-end process time (submission to certificate): 
Allowing earlier use of CSOS for ordering Schedule II controlled 
substances and realizing the benefits of electronic ordering rather 
than using paper order forms.
    (2) Insight into status and workflows to track the progress of the 
submission: Allowing Coordinators to get status updates online, see how 
the application progresses, and plan for additional CSOS users.
    (3) No longer needing to wait for the call center to request 
Certificate management action revocations: Allowing Coordinators to 
self-manage and remove user certificates.
    (4) Safer submission process: Allowing secure delivery of 
potentially sensitive information.
    (5) Error checking: Allowing programmatic review for erroneous or 
incomplete information, reducing delays in application processing.

DEA Impact

    DEA's costs are driven by the personnel and technology resources 
required to process the applications. Below is a list of the cost 
activities and anticipated impact.
    1. Certification Authority Cost: The Certification Authority serves 
as the central element responsible for establishing a trust 
relationship between controlled substance manufacturers, distributors, 
pharmacies, and other DEA authorized ordering entities. Certification 
Authority issues user digital certificates used to digitally sign 
electronic transactions. DEA believes that the personnel resources and 
costs to certify enrollment and issue digital certificates will not 
change as a result of

[[Page 47575]]

this final rule. Based on current Certification Authority resources, 
DEA estimates the annual Certification Authority cost will remain at 
$732,922.\29\
---------------------------------------------------------------------------

    \29\ Source: DEA.
---------------------------------------------------------------------------

    2. Registration Authority Cost: The Registration Authority is the 
entity that collects and verifies each applicant's identity and 
information that are to be entered into his or her public key 
certificates. Receiving electronic applications eliminates the need to 
scan paper applications. DEA estimates that the personnel resources and 
costs to process enrollment applications will fall by 30 percent 
starting with the second year of implementation of the rule. However, 
in the first year of implementation, DEA anticipates the decrease in 
resource requirements from elimination of scanning requirement will be 
offset by increase in applicant questions referred to Registration 
Authority. DEA estimates the total annual Registration Authority cost 
of $597,688 \30\ will remain the same in year 1 and will be $418,382 
($597,688 x 0.7) in year 2 and thereafter.
---------------------------------------------------------------------------

    \30\ Source: DEA.
---------------------------------------------------------------------------

    3. Mail Reception Cost: Currently, DEA requires personnel to 
receive, sort, and deliver paper applications to the Registration 
Authority at an estimated annual cost of $34,562.\31\ Under the final 
rule, applications would be received online, eliminating this cost.
---------------------------------------------------------------------------

    \31\ Source: DEA.
---------------------------------------------------------------------------

    4. Data Entry Cost: Currently, personnel resources are needed to 
verify the accuracy of the scanned paper applications and make any 
needed corrections. Under the final rule, online applications eliminate 
the need for this task. The estimated total current annual cost of 
$109,138 \32\ will be eliminated when this final rule is implemented.
---------------------------------------------------------------------------

    \32\ Source: DEA.
---------------------------------------------------------------------------

    5. Call Center Support Cost: DEA operates a CSOS call center to 
service questions, or provide assistance, regarding CSOS enrollment and 
certificate management. The estimated total current annual cost as 
$1,749,946.\33\ While DEA anticipates a reduction in the number of 
calls and duration of each call, DEA anticipates this reduction will 
result in lower wait-times for callers rather than reduced call center 
resources. Therefore, DEA estimates this cost will remain the same at 
$1,749,946.
---------------------------------------------------------------------------

    \33\ Source: DEA.
---------------------------------------------------------------------------

    6. Information Technology Cost: DEA currently spends approximately 
$255,000 per year on its Information Technology enrollment-related 
systems and software. DEA anticipates Information Technology costs will 
increase to $2,935,200 per year.\34\ Information Technology cost 
includes, but are not limited to, cloud services, workflow management, 
identity verification, identity management functionality, professional 
services for continuous development, integration and deployment, and 
maintenance and troubleshooting.
---------------------------------------------------------------------------

    \34\ Source: DEA.
---------------------------------------------------------------------------

    All costs are expected to scale with the volume of new 
applications, except Information Technology cost, which does not vary 
with the volume of applications. Table 5 summarizes the DEA's impact.

                                            Table 5--Total DEA Impact
                                          [Initial and remaining years]
----------------------------------------------------------------------------------------------------------------
                                                                  Year 1, change                  Year 2, change
                                    Current ($)     Year 1 ($)     from current    Year 2 * ($)    from current
                                                                        ($)                             ($)
----------------------------------------------------------------------------------------------------------------
Number of applications..........          31,172          31,172  ..............          31,172  ..............
Certification Authority.........         732,992         732,992  ..............         418,382        -314,610
Registration Authority **.......         597,688         418,382        -179,306         418,382        -179,306
Mail preparation (received mail)          34,562  ..............         -34,562  ..............         -34,562
Data Entry......................         109,138  ..............        -109,138  ..............        -109,138
Call Center Support.............       1,749,946       1,749,946  ..............       1,749,946  ..............
Information Technology..........         255,000       2,935,200       2,680,200       2,935,200       2,680,200
                                 -------------------------------------------------------------------------------
    Total cost..................       3,479,325       5,836,519       2,357,194       5,521,909       2,042,584
----------------------------------------------------------------------------------------------------------------
* Years 2 through 10 are all assumed to be the same.
** New cost starts on second year.

Additional Benefits

    There are additional benefits to the DEA from the final rule. These 
include:
    (1) That the CSOS System will be supported, secure, reliable, and 
scalable: Reducing the risk of lost or stolen data and long-term 
reduction in costs associated with to maintenance, operations, and 
growth.
    (2) The Certificate management process no longer involves a help 
desk call: Call center resources will be freed up to reduce hold-times 
for registrants allowing meeting call management service level 
agreements and improving user satisfaction.
    (3) Possible increase in CSOS adoption due to ease of enrollment 
process: Reducing DEA costs associated with printing and mailing paper 
order forms.
    (4) The ease at which enhancements can be made as needed, for 
example Enterprise Certificates with multiple DEA numbers: Allowing 
efficient future improvements to CSOS.

Registrant and DEA Total Impact

    Using the registrant and DEA impacts from table 5 the estimated net 
cost savings of this final rule for the 10-year analysis period is 
listed in Table 8.

                                    Table 6--DEA and Registrant Total Impact
----------------------------------------------------------------------------------------------------------------
                                        Total cost savings to   Net cost savings to DEA  Total net cost savings,
                 Year                      registrants ($)           (net cost) ($)        registrant + DEA ($)
----------------------------------------------------------------------------------------------------------------
1....................................               11,495,610              (2,536,501)                8,959,109

[[Page 47576]]

 
2....................................               11,495,610              (2,357,194)                9,138,416
3....................................               11,495,610              (2,357,194)                9,138,416
4....................................               11,495,610              (2,357,194)                9,138,416
5....................................               11,495,610              (2,357,194)                9,138,416
6....................................               11,495,610              (2,357,194)                9,138,416
7....................................               11,495,610              (2,357,194)                9,138,416
8....................................               11,495,610              (2,357,194)                9,138,416
9....................................               11,495,610              (2,357,194)                9,138,416
10...................................               11,495,610              (2,357,194)                9,138,416
----------------------------------------------------------------------------------------------------------------

    The present value of the net cost savings over the 10-year analysis 
period is $77,952,542 and $64,184,410 at three and seven percent 
discount rates, respectively. The annualized net cost savings is 
$9,138,416 at three and seven percent.
    The final rule is an E.O. 14192 deregulatory action because it is 
being finalized and has a total cost less than zero. The present value 
of the estimated net cost savings is $64,184,410 at seven percent 
discount rate in 2025 dollars.

Executive Order 12988, Civil Justice Reform

    This final rule meets the applicable standards set forth in 
sections 3(a) and 3(b)(2) of E.O. 12988, Civil Justice Reform to 
eliminate ambiguity, minimize litigation, establish clear legal 
standards, and reduce burdens. DEA expects the instant validation of 
online registration applications to reduce ambiguity and reduce the 
number of errors in submissions and reduce burdens on both DEA and 
registrants.

Executive Order 13132, Federalism

    This final rule does not have federalism implications warranting 
the application of E.O. 13132. The final rule does not have substantial 
direct effects on the States, on the relationship between the National 
government and the States, or on the distribution of power and 
responsibilities among the various levels of government.

Executive Order 13175, Consultation and Coordination With Indian Tribal 
Governments

    The final rule does not have substantial direct effects on one or 
more Indian tribes, on the relationship between the Federal government 
and Indian tribes, or on the distribution of power and responsibilities 
between the Federal government and Indian tribes.

Executive Order 14267, Reducing Anti-Competitive Regulatory Barriers

    The proposed rule does not reduce competition, entrepreneurship, 
and innovation.

Executive Order 14294, Overcriminalization of Federal Regulations

    Executive Order 14294 specifies that all NPRMs and final rules 
published in the Federal Register, the violation of which may 
constitute criminal regulatory offenses, should include a statement 
identifying that the rule or proposed rule is a criminal regulatory 
offense, the authorizing statute, and the mens rea requirement for each 
element of the offense. This final rule does not involve a criminal 
regulatory offense and thus E.O. 14294 does not apply.

Regulatory Flexibility Act

    In accordance with the Regulatory Flexibility Act (RFA), the DEA 
has reviewed the economic impact of this final rule on small entities. 
DEA's economic impact evaluation indicates that the rule will not, if 
promulgated, have a significant economic impact on a substantial number 
of small entities.
    The RFA requires an agency to analyze options for regulatory relief 
of small entities unless it can certify that the rule will not have a 
significant impact on substantial number of small entities. DEA has 
analyzed the economic impact of each provision of this final rule and 
estimates that it will have minimal economic impact on affected 
entities, including small businesses, nonprofit organizations, and 
small governmental jurisdictions.
    This final rule will simplify the enrollment process by requiring 
all initial registration and renewal applications be submitted online. 
The rule affects all enrollment and renewals for CSOS, whose users 
currently use paper applications. However, once a registrant is 
enrolled the DEA already requires them to order using CSOS. So, there 
is no additional cost to obtaining access to CSOS, since registrants 
will already be required to use it eventually.
    There is a total of 94,011 CSOS participating entities, as can be 
seen in Table 7, with approximately 325,000 active certificates. 
Certificates have to be renewed every one or three years, based on the 
registrants' DEA registration renewal cycle. In 2021, the number of new 
applications were 31,172. For every third renewal, the CSOS certificate 
holder must submit a new application.\35\ Therefore, for the purposes 
of this analysis, a third renewal is considered as a new application. 
DEA estimate that the total applications, including renewals, is 
93,516.
---------------------------------------------------------------------------

    \35\ 21 CFR 1311.40(c).

                   Table 7--Percentage and Number of Registered Locations by Business Activity
----------------------------------------------------------------------------------------------------------------
                                                                     Number of                     Renewal cycle
                        Business activity                            entities         Percent         (years)
----------------------------------------------------------------------------------------------------------------
Pharmacy........................................................          62,291           66.26               3
Hospital/Clinic.................................................          11,898           12.66               3
Practitioner/Mid-Level Practitioner (MLP).......................          18,095           19.25               3
Teaching Institution............................................              14            0.01               3

[[Page 47577]]

 
Manufacturer....................................................             103            0.11               1
Distributor/Importer/Exporter...................................             444            0.47               1
Researcher......................................................             247            0.26               1
Analytical Lab..................................................              26            0.03               1
Reverse Distributor.............................................               5            0.01               1
Narcotic Treatment Program (NTP)................................             888            0.94               1
                                                                 -----------------------------------------------
    Total.......................................................          94,011          100.00          * 2.97
----------------------------------------------------------------------------------------------------------------
* Weighted average.
(Source: DEA).

    This final rule affects all new and renewal enrollment applications 
for CSOS, as applications will have to take place online, and all 
entities who would submit new and renewal applications. This final rule 
affects small entities in industries associated with the above business 
activities, primarily industries associated with pharmacy, hospital/
clinic, and practitioner/MLP registrations, as these business 
activities make up 98.17 percent of the CSOS-participating 
registrations. Table 8 indicates the sectors, as defined by the North 
American Industry Classification System (NAICS), that best correlate 
with business activities affected by the final rule.

         Table 8--Industrial Sectors Affected by the Final Rule
------------------------------------------------------------------------
        Business activity           NAICS code   NAICS code description
------------------------------------------------------------------------
Pharmacy.........................       445110  Supermarkets and Other
                                                 Grocery (except
                                                 Convenience) Stores.
                                        446110  Pharmacies and Drug
                                                 Stores.
                                        452210  Department Stores.
                                        452311  Warehouse Clubs and
                                                 Supercenters.
NTP, Hospital/Clinic,                   621111  Offices of Physicians
 Practitioner, MLP *.                            (except Mental Health
                                                 Specialists).
                                        621112  Offices of Physicians,
                                                 Mental Health
                                                 Specialists.
                                        621330  Offices of Mental Health
                                                 Practitioners (except
                                                 Physicians).
                                        621420  Outpatient Mental Health
                                                 and Substance Abuse
                                                 Centers.
                                        621491  HMO Medical Centers.
                                        621493  Freestanding Ambulatory
                                                 Surgical and Emergency
                                                 Centers.
                                        622110  General Medical and
                                                 Surgical Hospitals.
                                        622210  Psychiatric and
                                                 Substance Abuse
                                                 Hospitals.
                                        622310  Specialty (except
                                                 Psychiatric and
                                                 Substance Abuse)
                                                 Hospitals.
Teaching Institute...............       611310  Colleges, Universities
                                                 and Professional
                                                 Schools.
Manufacturer.....................       325411  Medicinal and Botanical
                                                 Manufacturing.
                                        325412  Pharmaceutical
                                                 Preparation
                                                 Manufacturing.
Distributor, Importer, Exporter..       424210  Drugs and Druggists'
                                                 Sundries Merchant
                                                 Wholesalers.
Researcher.......................       541715  Research and Development
                                                 in the Physical,
                                                 Engineering, and Life
                                                 Sciences (except
                                                 Nanotechnology and
                                                 Biotechnology).
Analytical Labs..................       541380  Testing Laboratories.
Reverse Distributor..............       562213  Solid Waste Combustors
                                                 and Incinerators.
                                        562219  Other Nonhazardous Waste
                                                 Treatment and Disposal.
------------------------------------------------------------------------
* Practitioners and mid-level practitioners are generally employed in
  one of these industries.

    As shown in Table 8, the final rule affects a wide variety of 
entities across many industry sectors. Some industry sectors are 
expected to consist primarily of DEA CSOS registrants (i.e., 446110--
Pharmacies and Drug Stores, 622110--General Medical and Surgical 
Hospitals, etc.). Therefore, this final rule is expected to affect a 
substantial number of small entities in some industries.
    There are no new costs associated with this final rule. The labor 
burden to submit an application is estimated to be the same for 
electronic and paper submissions. All CSOS registered location will 
already need to have access to the internet in order to use CSOS. DEA 
acknowledges some applicants prefer paper forms. DEA does not have a 
basis to quantify this preference; however, DEA believes any costs 
associated with eliminating this preference is offset by the cost 
savings discussion below.
    DEA anticipates there will be cost savings associated with 
electronic submissions. Some cost savings are described qualitatively 
and some are quantified. Many paper applications submitted contain 
illegible or erroneous information or omit required information. Many 
such errors or omissions, such as not including a signature or paying 
the wrong amount, require DEA to contact applicants to correct or 
clarify the information in the paper form, consuming DEA's and the 
applicant's time and resources. Electronic submissions are expected to 
virtually eliminate the requirement for DEA to contact applicants for 
clarifications of form data or correction of submission errors, as 
validation features in the system will flag common errors prior to 
transmission. As DEA has not tracked the number of delays or the 
duration of such delays, DEA does not have a basis to quantify the cost 
savings.
    Furthermore, this final rule eliminates the need to print paper 
forms and transmit by mail or courier service, generating an estimated 
cost savings of $13.27 per each paper application not submitted.\36\ 
DEA assumes the cost savings associated with eliminating

[[Page 47578]]

printing costs and envelopes is negligible. This final rule also 
eliminates the need to get a notary for new applications, which will 
save $5.00 each for applications for registrant and coordinator 
roles.\37\ An application for the Power of Attorney role does not 
require a notary; and while there would be no notary cost savings for 
these applications, $5 cost savings is included in the analysis to be 
conservative and because applications for registrant and coordinator 
roles are slightly more than half of all applications.
---------------------------------------------------------------------------

    \36\ Note 18.
    \37\ Note 20.
---------------------------------------------------------------------------

    As discussed in the E.O. 12866 section above, DEA estimates that 
the time savings from this final rule will save $117.52 per new and 
renewal application.
    Total cost savings for a new application is $135.797 (117.52 + 
13.27 + 5.00 = 135.79), as can be seen in Table 9.

                                    Table 9--Cost Savings per New Application
----------------------------------------------------------------------------------------------------------------
                                                                                                   Cost savings
                                                                    Current ($)       New ($)           ($)
----------------------------------------------------------------------------------------------------------------
Labor cost per New app..........................................          282.06          164.54          117.52
Postage cost per app............................................           13.27  ..............           13.27
Cost of notary..................................................            5.00  ..............            5.00
                                                                 -----------------------------------------------
    Total.......................................................  ..............  ..............          135.79
----------------------------------------------------------------------------------------------------------------

    As also calculated in the E.O. 12866 section above, total cost 
savings for renewals is $117.52, as can be seen in Table 10.

                                 Table 10--Cost Savings per Renewal Application
----------------------------------------------------------------------------------------------------------------
                                                                                                   Cost savings
                                                                    Current ($)       New ($)           ($)
----------------------------------------------------------------------------------------------------------------
Labor cost per Renewal app......................................          141.03           23.51          117.52
                                                                 -----------------------------------------------
    Total.......................................................  ..............  ..............          117.52
----------------------------------------------------------------------------------------------------------------

    There were 31,172 new applications in 2021. DEA estimates there 
were also 62,344 renewal applications for a total of 93,516 
applications. Given there are 94,011 CSOS participating entities, there 
is less than one application per year per entity on average (93,516/
94,011 = 0.99). Given that there are at approximately 325,000 active 
digital certificates, the vast majority of which are on three-year 
renewal cycles, DEA expects approximately 108,333 certificates to be 
renewed annually (325,000/3 = 108,333). There are then approximately 
1.15 certificates per entity (108,333/94,011 = 1.15). Given that 
smaller firms should have less certificates than larger firms, DEA 
believes using one certificate or one application per entity per year 
is a reasonable assumption for the smallest of small entities.
    To determine whether the final rule would have a significant 
economic impact on small entities, DEA conducted a revenue test by 
comparing the estimated annual cost savings to the average annual 
revenue for the smallest of small entities in industries affected by 
the final rule. Based on the Statistics of U.S. Businesses data from 
the Census Bureau, table 11 lists the enterprise size, number of 
establishments, and the average annual revenue for the smallest of 
small businesses in each industry sector.<SUP>38 39</SUP>
---------------------------------------------------------------------------

    \38\ Census Bureau, Statistics of U.S. Businesses Revenue Data 
by Size, 2017. <a href="https://www.census.gov/programs-surveys/susb.html">https://www.census.gov/programs-surveys/susb.html</a>. 
(Released 5/28/2021).
    \39\ Census Bureau, Statistics of U.S. Businesses Number of 
Establishment Data by Size, 2021. <a href="https://www.census.gov/programs-surveys/susb.html">https://www.census.gov/programs-surveys/susb.html</a>. (Released 12/21/2022).

                         Table 11--Average Annual Revenue of Smallest of Small Entities
----------------------------------------------------------------------------------------------------------------
                                                                                                 Average revenue
                                                              Enterprise size     Number of            per
            NAICS                    NAICS description           (number of     establishments  establishment ($
                                                                 employees)                        thousands)
----------------------------------------------------------------------------------------------------------------
325411......................  Medicinal and Botanical                     0-4              303               690
                               Manufacturing.
325412......................  Pharmaceutical Preparation                  0-4              398             1,173
                               Manufacturing.
424210......................  Drugs and Druggists' Sundries               0-4            4,131             1,512
                               Merchant Wholesalers.
445110......................  Supermarkets and Other Grocery              0-4           20,420               519
                               (except Convenience) Stores.
446110......................  Pharmacies and Drug Stores....              0-4            7,118             1,328
452210......................  Department Stores.............              0-4                3               467
452311......................  Warehouse Clubs and                         0-4               25               475
                               Supercenters.
541380......................  Testing Laboratories..........              0-4            2,446               316
541715......................  Research and Development in                 0-4            5,243               449
                               the Physical, Engineering,
                               and Life Sciences (except
                               Nanotechnology and
                               Biotechnology).
562213......................  Solid Waste Combustors and                  0-4               17               949
                               Incinerators.
562219......................  Other Nonhazardous Waste                    0-4              299               580
                               Treatment and Disposal.
611310......................  Colleges, Universities, and                 0-4              526               802
                               Professional Schools.
621111......................  Offices of Physicians (except               0-4           80,722               465
                               Mental Health Specialists).

[[Page 47579]]

 
621112......................  Offices of Physicians, Mental               0-4            9,836               291
                               Health Specialists.
621330......................  Offices of Mental Health                    0-4           28,428               165
                               Practitioners (except
                               Physicians).
621420......................  Outpatient Mental Health and                0-4            4,015               248
                               Substance Abuse Centers.
621491......................  HMO Medical Centers...........              0-4               79                98
621493......................  Freestanding Ambulatory                     0-4            2,001               666
                               Surgical and Emergency
                               Centers.
622110......................  General Medical and Surgical                0-4              215            15,559
                               Hospitals.
622210......................  Psychiatric and Substance                   0-4                9             1,024
                               Abuse Hospitals.
622310......................  Specialty (except Psychiatric               0-4               13             1,965
                               and Substance Abuse)
                               Hospitals.
----------------------------------------------------------------------------------------------------------------

    The estimated cost savings of $135.79 for new applications and 
$117.52 for renewal applications were compared to the average annual 
revenue for each of the NAICS codes in Table 11. For example, taking 
the smallest possible entities, HMO Medical Centers with 0-4 people, 
with an average revenue of $98,000, the benefit, in the form of cost 
savings, from new applications is $133.97 (116.27 + 12.70 + 5 = 
133.97), or 0.14 percent of revenues (133.69/98,000 = 0.0014). The 
benefit from renewals is 0.12 percent of revenues (116.27/98,000 = 
0.0012). Table 12 details the revenue test results for all affected 
NAICS codes.

                              Table 12--Revenue Test of Smallest of Small Entities
----------------------------------------------------------------------------------------------------------------
                                                Average     Benefit from               Benefit from
                                              revenue per        new       Percent of     renewal     Percent of
       NAICS           NAICS description     establishment  applications  revenue (%)  applications  revenue (%)
                                             ($ thousands)       ($)                        ($)
----------------------------------------------------------------------------------------------------------------
325411.............  Medicinal and                     690        133.97         0.02        116.27         0.02
                      Botanical
                      Manufacturing.
325412.............  Pharmaceutical                  1,173        133.97         0.01        116.27         0.01
                      Preparation
                      Manufacturing.
424210.............  Drugs and Druggists'            1,512        133.97         0.01        116.27         0.01
                      Sundries Merchant
                      Wholesalers.
445110.............  Supermarkets and                  519        133.97         0.02        116.27         0.02
                      Other Grocery
                      (except Convenience)
                      Stores.
446110.............  Pharmacies and Drug             1,328        133.97         0.01        116.27         0.01
                      Stores.
452210.............  Department Stores....             467        133.97         0.03        116.27         0.02
452311.............  Warehouse Clubs and               475        133.97         0.03        116.27         0.02
                      Supercenters.
541380.............  Testing Laboratories.             316        133.97         0.04        116.27         0.03
541715.............  Research and                      449        133.97         0.03        116.27         0.02
                      Development in the
                      Physical,
                      Engineering, and
                      Life Sciences
                      (except
                      Nanotechnology and
                      Biotechnology).
562213.............  Solid Waste                       949        133.97         0.01        116.27         0.01
                      Combustors and
                      Incinerators.
562219.............  Other Nonhazardous                580        133.97         0.02        116.27         0.02
                      Waste Treatment and
                      Disposal.
611310.............  Colleges,                         802        133.97         0.02        116.27         0.01
                      Universities, and
                      Professional Schools.
621111.............  Offices of Physicians             465        133.97         0.03        116.27         0.02
                      (except Mental
                      Health Specialists).
621112.............  Offices of                        291        133.97         0.04        116.27         0.04
                      Physicians, Mental
                      Health Specialists.
621330.............  Offices of Mental                 165        133.97         0.08        116.27         0.07
                      Health Practitioners
                      (except Physicians).
621420.............  Outpatient Mental                 248        133.97         0.05        116.27         0.04
                      Health and Substance
                      Abuse Centers.
621491.............  HMO Medical Centers..              98        133.97         0.13        116.27         0.11
621493.............  Freestanding                      666        133.97         0.02        116.27         0.02
                      Ambulatory Surgical
                      and Emergency
                      Centers.
622110.............  General Medical and            15,559        133.97         0.00        116.27         0.00
                      Surgical Hospitals.
622210.............  Psychiatric and                 1,024        133.97         0.01        116.27         0.01
                      Substance Abuse
                      Hospitals.
622310.............  Specialty (except               1,965        133.97         0.01        116.27         0.01
                      Psychiatric and
                      Substance Abuse)
                      Hospitals.
----------------------------------------------------------------------------------------------------------------

    As shown in Table 12, the revenue test for the smallest of small 
entities (0-4 employees) ranges from 0.00 percent with rounding for 
NAICS code 622110 to 0.13 percent for NAICS code 621491. Therefore, the 
economic impact of this final rule is not significant for the smallest 
of small entities, and the economic impact is estimated to be not 
significant on any small entity.
    In conclusion, while the final rule impacts a substantial number of 
small entities in at least some industries, the economic impact will 
not be significant. Therefore, this final rule will not have a 
significant economic impact on a substantial number of small entities.

Unfunded Mandates Reform Act of 1995

    In accordance with the Unfunded Mandates Reform Act of 1995 
(UMRA),\40\ DEA has determined that this action would not result in any 
Federal mandate that may result ``in the expenditure by State, local, 
and tribal governments, in the aggregate, or by the private sector, of 
$100,000,000 or more (adjusted annually for inflation) in any 1 year.'' 
Therefore, neither a Small

[[Page 47580]]

Government Agency Plan nor any other action is required under the UMRA.
---------------------------------------------------------------------------

    \40\ 2 U.S.C. 1501 et seq.
---------------------------------------------------------------------------

Paperwork Reduction Act

    This final rule will modify existing collection(s) of information 
requirement under the Paperwork Reduction Act (PRA).\41\ The final rule 
will combine all information collection into one on-line enrollment 
process eliminating the need for individual forms. Pursuant to the 
PRA,\42\ DEA has identified the collections of information below 
related to this final rule. A person is not required to respond to a 
collection of information unless it displays a valid OMB control 
number.\43\
---------------------------------------------------------------------------

    \41\ 44 U.S.C. 3501-3521.
    \42\ 44 U.S.C. 3507(d).
    \43\ Copies of existing information collections approved by OMB 
may be obtained at <a href="http://www.reginfo.gov/public/do/PRAMain">http://www.reginfo.gov/public/do/PRAMain</a>.
---------------------------------------------------------------------------

A. Collections of Information Associated With the Final Rule
    1. Title: CSOS Certificate Application.
    OMB Control Number: 1117-0038.
    Form Number: DEA-251.
    DEA is amending its regulations to require that all CSOS 
applications and supporting materials must be submitted to DEA through 
the DEA Diversion Control Division secure network application. This 
amendment will improve the submission process by aligning it with DEA's 
current requirements for other online form submissions. The online 
submission of applications and supporting material through the secure 
database will ensure DEA's receipt of documentation in a more timely 
and organized manner. This combined online form will be used for all 
CSOS user roles: DEA Registrant, Principal Coordinator/Alternate 
Coordinator, and Power of Attorney.
    DEA estimates the following number of respondents and burden 
associated with this collection of information:
    <bullet> Number of respondents: 94,011.
    <bullet> Frequency of response: 0.994735 (as needed, 
calculated).\44\
---------------------------------------------------------------------------

    \44\ Calculated by dividing the number of responses (93,516) by 
the number of respondents (94,011).
---------------------------------------------------------------------------

    <bullet> Number of responses: 93,516.
    <bullet> Burden per response: 0.75.\45\
---------------------------------------------------------------------------

    \45\ Weighted average of new and renewal applications. There are 
31,172 new applications and they take 1.75 hours. There are 62,344 
renewals and they take 0.25 hours. New applications represent 33 
percent of applications (31,172/93,516 = 0.33) and renewals 
represent 67 percent of applications (62,344/93,516 = 0.67). The 
weighted average is then 0.75 ([0.33 x 1.75] + [0.67 * 0.25] = 
0.75).
---------------------------------------------------------------------------

    <bullet> Total annual hour burden: 70,137.
    If you need additional information, please contact the Regulatory 
Drafting and Policy Support Section (DPW), Diversion Control Division, 
Drug Enforcement Administration; Mailing Address: 8701 Morrissette 
Drive, Springfield, Virginia 22152; Telephone: (571) 362-3261.
    Any comments on this collection of information may be sent in 
writing to the Office of Information and Regulatory Affairs, OMB, 
Attention: Desk Officer for DOJ, Washington, DC 20503. Please state 
that your comments refer to RIN 1117-AB79/Docket No. DEA-732.

Congressional Review Act

    This final rule is not a major rule as defined by section 804 of 
the Congressional Review Act (hereinafter, ``CRA''). This rule will not 
result in an annual effect on the economy of $100,000,000 or more; a 
major increase in costs or prices for consumers, individual industries, 
Federal, State, or local government agencies, or geographic regions; or 
significant adverse effects on competition, employment, investment, 
productivity, innovation, or on the ability of the United States-based 
enterprises to compete with foreign-based enterprises in domestic and 
export markets. 5 U.S.C. 804. Pursuant to the CRA, the DEA has 
submitted a copy of the Final Rule to both Houses of Congress and to 
the Comptroller General.

List of Subjects in 21 CFR Part 1311

    Administrative practice and procedure, Control substances, Drug 
traffic control, Prescription drugs, Reporting and recordkeeping 
requirements.

    For the reasons stated in the preamble, DEA amends 21 CFR part 1311 
as follows:

PART 1311--REQUIREMENTS FOR ELECTRONIC ORDERS AND PRESCRIPTIONS

0
1. The authority citation for part 1311 continues to read as follows:

    Authority: 21 U.S.C. 821, 828, 829, 871(b), 958(e), 965, unless 
otherwise noted.


0
2. Amend Sec.  1311.20 by revising paragraphs (b) and (c) to read as 
follows:


Sec.  1311.20  Coordinators for CSOS digital certificate holders.

* * * * *
    (b) If the designated coordinator changes at any time, the 
Certification Authority must immediately be notified of the change and 
the new responsibilities assumed by each of the registrant's 
coordinators, if applicable. New Coordinators must complete the online 
application as provided in Sec.  1311.25.
    (c) The registrant's coordinator must inform the Certification 
Authority of all digital certificate applications, renewals and 
revocations for the registrant's users and approve applicants applying 
for a power of attorney digital certificate for a DEA registrant by 
means instructed by the Certification Authority within the system.


0
3. Revise Sec.  1311.25 to read as follows:


Sec.  1311.25  Requirements for obtaining a CSOS digital certificate.

    (a) To obtain a certificate to use for signing electronic orders 
for controlled substances, a registrant, coordinator, or person with 
power of attorney authorized to obtain a certificate for signing 
electronic orders for controlled substances for a registrant must 
complete the online enrollment process at <a href="http://www.deaecom.gov">www.deaecom.gov</a> by:
    (1) Completing the online identification proofing process;
    (2) Providing a current listing of DEA registrations for which the 
individual has authority to sign controlled substances orders.
    (3) Uploading all copies of the power of attorney forms authorized 
by the registrant, when applicable.
    (4) Acknowledging that the applicant has read and understands the 
Subscriber Agreement and agrees to all terms contained in the Statement 
of Subscriber Obligations contained online.
    (b) When the Certification Authority verifies the applicant's 
identity and employment and approves the application, it will send the 
applicant a one-time use reference number and access code, via separate 
channels, and information on how to use them. Using this information, 
the applicant must then electronically submit a request for 
certification of the public digital signature key. After the request is 
approved, the Certification Authority will provide the applicant with 
the signed public key certificate.
    (c) Once the applicant has generated the key pair, the 
Certification Authority must prove that the user has possession of the 
key. For public keys, the corresponding private key must be used to 
sign the certificate request. Verification of the signature using the 
public key in the request will serve as proof of possession of the 
private key.


0
4. Amend Sec.  1311.40 by revising paragraphs (c) and (d) to read as 
follows:


Sec.  1311.40  Renewal of CSOS digital certificates.

* * * * *
    (c) If a CSOS certificate holder applies for a renewal before the 
certificate expires, the certificate holder may renew online at 
<a href="http://www.deaecom.gov">www.deaecom.gov</a> twice. For every third renewal, the

[[Page 47581]]

CSOS certificate holder must submit a new application and 
documentation, as provided in Sec.  1311.25.
    (d) If a CSOS certificate expires before the holder applies for a 
renewal, the certificate holder must submit a new application and all 
required documentation, as provided in Sec.  1311.25.


Sec.  1311.60  [Amended]

0
5. Amend Sec.  1311.60 by removing paragraph (c).

Signing Authority

    This document of the Drug Enforcement Administration was signed on 
September 30, 2025, by Administrator Terrance Cole. That document with 
the original signature and date is maintained by DEA. For 
administrative purposes only, and in compliance with requirements of 
the Office of the Federal Register, the undersigned DEA Federal 
Register Liaison Officer has been authorized to sign and submit the 
document in electronic format for publication, as an official document 
of DEA. This administrative process in no way alters the legal effect 
of this document upon publication in the Federal Register.

Heather Achbach,
Federal Register Liaison Officer, Drug Enforcement Administration.
[FR Doc. 2025-19325 Filed 10-1-25; 8:45 am]
BILLING CODE 4410-09-P


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Indexed from Federal Register on October 2, 2025.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.