Information Collection

Accountability Record/TID Transfer Form

IC 182782 under ICR 200711-0925-003 · OMB 0925-0240.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0240 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Accountability Record/TID Transfer Form	Form and Instruction
1 DARF DARF.pdf	Form and Instruction
2 TID Transfer Form TID transfer.pdf	Form and Instruction

IC Title:

Accountability Record/TID Transfer Form

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 312

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	DARF	DARF.pdf		No	No	Paper Only
Form and Instruction	2	TID Transfer Form	TID transfer.pdf		Yes	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,900

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	62,400	62,400
Annual IC Time Burden (Hours)	6,240	6,240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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