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Accountability Record/TID Transfer Form
Drug Accountability Record
OMB: 0925-0240
IC ID: 182782
OMB.report
HHS/NIH
OMB 0925-0240
ICR 200711-0925-003
IC 182782
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0240 can be found here:
2010-10-15 - Extension without change of a currently approved collection
2008-01-08 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
62,400
0
0
62,400
0
0
Annual IC Time Burden (Hours)
6,240
0
0
6,240
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.