Investigational Agent Accountability Record for Oral Agents Form (DARF-Oral)

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

Documents and Forms

Document Name Document Type
Form 1 Investigational Agent Accountability Record for Oral Agents Form (DARF-Oral) Form
1 Investigational Agent Accountability Record for Oral Age Attachment 2 - Investigational Agent Accountability Record (Oral).pdf Form
1 Investigational Agent Accountability Record for Oral Age Attachment 2 - Investigational Agent Accountability Record (Oral).pdf Form

Information Collection (IC) Details

IC Title:	Investigational Agent Accountability Record for Oral Agents Form (DARF-Oral)	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 for Oral Agents Form (DARF-Oral)	Attachment 2 - Investigational Agent Accountability Record (Oral).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: 1,500	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	30,000	-15,600	45,600
Annual IC Time Burden (Hours)	2,000	-1,040	3,040
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.