Information Collection Request

Investigational Agent Accountability Record Forms in the Conduct of Investigational Trials in Cancer Treatment (NCI)

ICR 202111-0925-005 · OMB 0925-0613 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4 International Investigator Statement (IIS) Form and Instruction New Repair queued
Form 3 Electronic Agent Accountability Record Form (eDARF) Form and Instruction New Repair queued
Form 2 Drug Accountability Record Form - Oral Version (DARF- Oral) Form and Instruction Modified Repair queued
Form 1 Drug Accountability Record Form (DARF) Form and Instruction Modified Repair queued
pub 30day FRN2021-25605.pdf Supplementary Document Uploaded 2021-11-24 Repair queued
SSA FINAL 11.17.2021.docx Supporting Statement A Uploaded 2021-11-22 Available
Attachment 6 - Privacy Act Memo.pdf Supplementary Document Uploaded 2021-11-22 Repair queued
Attachment 5 PIA.pdf Supplementary Document Uploaded 2021-11-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
250488 International Investigator Statement (IIS) Form and Instruction New
250487 Electronic Agent Accountability Record Form (eDARF) Form and Instruction New
234814 Drug Accountability Record Form - Oral Version (DARF- Oral) Form and Instruction Modified
234813 Drug Accountability Record Form (DARF) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2022
78,100 45,504
4,831 3,033
0 0





table that charts list of burden
  Total Request 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 78,100 45,504 0 32,596 0 0
Annual Time Burden (Hours) 4,831 3,033 0 1,798 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No