Information Collection Request

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

ICR 202409-0925-001 · 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 Removed Repair queued
Form 1 Electronic Agent Accountability Record Form (eDARF) Form Modified Repair queued
Form 1 Investigational Agent Accountability Record for Oral Agents Form (DARF-Oral) Form Modified Repair queued
Form 1 Investigational Agent Accountability Record Form (DARF) Form Modified Repair queued
SSA 0925-0613.docx Supporting Statement A Uploaded 2024-09-30 Available
Attachment 5 - Privacy Act Memo.pdf Supplementary Document Uploaded 2024-09-30 Repair queued
Attachment 4 - Privacy Impact Assessment (PIA).pdf Supplementary Document Uploaded 2024-09-30 Repair queued
30day 0613.pdf Supplementary Document Uploaded 2024-09-30 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 01/31/2025
100,000 78,100
4,166 4,831
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 100,000 78,100 0 24,000 -2,100 0
Annual Time Burden (Hours) 4,166 4,831 0 -140 -525 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No