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Investigational Agent Accountability Record Form (DARF)
Investigational Agent Accountability Record Forms in the Conduct of Investigational Trials in Cancer Treatment (NCI)
OMB: 0925-0613
IC ID: 234813
OMB.report
HHS/NIH
OMB 0925-0613
ICR 202409-0925-001
IC 234813
( )
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
20,000
0
4,800
0
0
15,200
Annual IC Time Burden (Hours)
1,333
0
320
0
0
1,013
Annual IC Cost Burden (Dollars)
0
0
0
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.