Information Collection

Accountability Record

IC 7263 under ICR 200801-0925-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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	Form and Instruction
1 DARF DARF.pdf	Form and Instruction

IC Title:

Accountability Record

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

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

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
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	62,400	-3,939	66,339
Annual IC Time Burden (Hours)	6,240	2,862	3,378
Annual IC Cost Burden (Dollars)	0	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.