DRUG ACCOUNTABILITY RECORD

ICR 198803-0925-002

OMB: 0925-0240

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
111510 Migrated
ICR Details
0925-0240 198803-0925-002
Historical Active 198408-0925-001
HHS/NIH
DRUG ACCOUNTABILITY RECORD
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/01/1988
Retrieve Notice of Action (NOA) 03/15/1988
  Inventory as of this Action Requested Previously Approved
06/30/1991 06/30/1991
200 0 0
2,020 0 0
0 0 0

THESE FORMS WILL BE USED BY INVESTIGATORS AND THEIR DESIGNEES (PHARMACISTS AND NURSES) TO TRACK TH DISPENSING OF NCI-SPONSORED INVESTIGATIONAL NEW DRUGS UNDER NCI CLINIC PROTOCOLS. THESE FORMS WILL SERVE AS A LINK BETWEEN THE NCI DRUG DISTRIBUTION DATA AND THE PROTOCOL PATIENT DATA TO ENSURE THAT INVESTIGATIONAL DRUGS ARE BEING USED PROPERLY, IN ACCORDANCE WITH THE NOTICE(S) OF CLAIMED INVESTIGATIONAL EXEMPTION FOR A NEW DRUG", FILED

None
None


No

1
IC Title Form No. Form Name
DRUG ACCOUNTABILITY RECORD NIH 2564, 2564-1

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200 0 0 -20 220 0
Annual Time Burden (Hours) 2,020 0 0 -203 2,223 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/15/1988


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