Information Collection

Investigational Agent Accountability Record Form (DARF)

IC 234813 under ICR 202409-0925-001 · OMB 0925-0613.

Documents and Forms

Document Name Document Type
Form 1 Investigational Agent Accountability Record Form (DARF) Form
1 Investigational Agent Accountability Record Form (DARF) Attachment 1 - Investigational Agent Accountability Record.pdf Form
1 Investigational Agent Accountability Record Form (DARF) Attachment 1 - Investigational Agent Accountability Record.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Investigational Agent Accountability Record Form (DARF)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Investigational Agent Accountability Record Form (DARF)	Attachment 1 - Investigational Agent Accountability Record.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH) HHS/NIH/OD	FR Citation: 67 FR 60776

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20,000	4,800	15,200
Annual IC Time Burden (Hours)	1,333	320	1,013
Annual IC Cost Burden (Dollars)	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.