Information Collection

Investigational Agent Accountability Record Form (DARF)

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Investigational Agent Accountability Record Form (DARF)	Form
Form 1 Investigational Agent Accountability Record Form (DARF) 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

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1				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 %

table that charts list of burden
	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

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.

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