OMB control number

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

OMB 0925-0613 · HHS/NIH.

OMB 0925-0613

This is a request for the Office of Management and Budget (OMB) to approve a Revision of the “Investigational Agent Accountability Record Forms in the Conduct of Investigational Trials for the Treatment of Cancer” for an additional three-year period. The U.S. Food and Drug Administration (FDA) holds the National Cancer Institute (NCI), Division of Cancer Treatment and Diagnosis/Cancer Therapy Evaluation Program (NCI/DCTD/CTEP), and the Division of Cancer Prevention (DCP) responsible as a sponsor of investigational agent trials, to assure the FDA that investigators in its clinical trials program are maintaining systems for accountability. Data obtained from the Investigational Agent Accountability Record Forms are used to track the dispensing of investigational anticancer agents from receipt from the NCI to dispensing or administration to patients. Requirements for the tracking of investigational agents under an Investigational New Drug Application are outlined in Title 21 Code of Federal Regulations (CRF) Part 312. NCI and/or its auditors use this information to ensure compliance with federal regulations and NCI policies

The latest form for Investigational Agent Accountability Record Forms in the Conduct of Investigational Trials in Cancer Treatment (NCI) expires 2027-11-30 and is listed under ICR 202409-0925-001.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 4 International investigator statementForm and Instruction
Form 4 International Investigator Statement (IIS)Form and Instruction
Form 1 A3: Electronic Agent Accountability Record Form (eDARF)Form
Form 1 Electronic Agent Accountability Record Form (eDARF)Form
Form 1 Investigational Agent Accountability Record for Oral Agents Form (DARF-Oral)Form
Form 1 Investigational Agent Accountability Record for Oral Agents Form (DARF-Oral)Form
Form 1 Investigational Agent Accountability Record Form (DARF)Form
Form 1 Investigational Agent Accountability Record Form (DARF)Form
SSA 0925-0613.docxSupporting Statement A
Attachment 5 - Privacy Act Memo.pdfSupplementary Document
Attachment 5 - Privacy Act Memo.pdf Supplementary Document
Attachment 4 - Privacy Impact Assessment (PIA).pdfSupplementary Document
Attachment 4 - Privacy Impact Assessment (PIA).pdf Supplementary Document
30day 0613.pdfSupplementary Document
International Investigator Statement (IIS) Form and Instruction
International Investigator Statement (IIS) Form and Instruction
Electronic Agent Accountability Record Form (eDARF) Form
Electronic Agent Accountability Record Form (eDARF) Form
Investigational Agent Accountability Record for Oral Agents Form (DARF-Oral) Form
Investigational Agent Accountability Record for Oral Agents Form (DARF-Oral) Form
Investigational Agent Accountability Record Form (DARF) Form
Investigational Agent Accountability Record Form (DARF) Form

All Historical Document Collections

OMB Details

Investigational Agent Accountability Record Form (DARF)

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
FormNameElectronic accessType
Form 1Investigational Agent Accountability Record Form (DARF)Fillable FileableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.