Stem Cell Therapeutic Outcomes Database (Prod Form)

Stem Cell Therapeutic Outcomes Database

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0310 can be found here:

Documents and Forms

Document Name Document Type
Form ProdForm Stem Cell Therapeutic Outcomes Database (Prod Form) Form
ProdForm Product Form Product Form 2007May01.pdf Form

Information Collection (IC) Details

IC Title:	Stem Cell Therapeutic Outcomes Database (Prod Form)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ProdForm	Product Form	Product Form 2007May01.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 225	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	3,150	3,150
Annual IC Time Burden (Hours)	4,725	4,725
Annual IC Cost Burden (Dollars)	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.