Information Collection Request

Investigating the Cause of Post Donation Information Errors in Donor Screening Process

ICR 201005-0925-008 · OMB 0925-0617 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 Initial Telephone Contact and PDI Discussion Guide Form New Available
Supporting_Statement_B1.doc Supporting Statement B Uploaded 2010-08-02 Available
Attachment 7 Memo for Privacy Act.docx Supplementary Document Uploaded 2010-05-07 Available
Attachment 5.5.pdf Supplementary Document Uploaded 2010-02-26 Available
Attachment 5.3_2007 UDHQ 1-2.pdf Supplementary Document Uploaded 2010-02-26 Available
Attachment 5.4_2007 Donor Ed materials 1-2.pdf Supplementary Document Uploaded 2010-02-26 Available
Attachment 5.2_Justification for Sensitive Questions.docx Supplementary Document Uploaded 2010-02-26 Available
Attachment 5.1.docx Supplementary Document Uploaded 2010-02-26 Available
Attachment 4_Informed Consent Form.docx Supplementary Document Uploaded 2010-02-26 Available
Attachment 3_PDI Study Protocol.docx Supplementary Document Uploaded 2010-02-26 Available
Attachment 1.pdf Supplementary Document Uploaded 2010-02-26 Available
Supporting_Statement_A1.doc Supporting Statement A Uploaded 2010-08-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
192913 Initial Telephone Contact and PDI Discussion Guide Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2013 02/28/2011
408 0 0
84 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Initial Telephone Contact and PDI Discussion Guide 1, 2 Survey ,   Initial telephone interview

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 408 0 0 408 0 0
Annual Time Burden (Hours) 84 0 0 84 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No