Information Collection

Requirements for Human Blood and Blood Components Intended for Transfusion or for Further Manufacturing Use

IC 183143 under ICR 200712-0910-012 · OMB 0910-0795.

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Information Collection (IC) Details

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IC Title:	Requirements for Human Blood and Blood Components Intended for Transfusion or for Further Manufacturing Use	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 640.72(a)(2)(i) 21 CFR 640.72(a)(3) 21 CFR 640.72(a)(4)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 81	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	1,499,999	1,499,999
Annual IC Time Burden (Hours)	120,000	120,000
Annual IC Cost Burden (Dollars)	0	0

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