Information Collection

Hospitals, blood collection centers, cord blood banks

IC 180443 under ICR 201008-0990-003 · OMB 0990-0313.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0313 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A NBUCS.pdf	Instruction
Attachment B NBUCS.pdf	Other-Letter
Attachment C NBCUS.pdf	Other-Survey
Attachments D NBCUS.pdf	Other-Survey
Attachment E NBCUS.pdf	Other-Survey
Attachment F NBCUS.pdf	Other-survey
0990-0313-NBCUS_Combined_Rev2_0710.pdf	Other-Survey
Attachment H NBCUS.pdf Committee	IC Document
Attachment I NBCUS.pdf Attachment I NBCUS	IC Document
Attachment J NBCUS.pdf Attachment J NBCUS	IC Document
Attachment K NBCUS.pdf Attachment K NBCUS	IC Document

IC Title:

Hospitals, blood collection centers, cord blood banks

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.5

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Attachments D NBCUS.pdf	No	No	Paper Only
Other-Survey	Attachment E NBCUS.pdf	No	No	Paper Only
Other-survey	Attachment F NBCUS.pdf	No	No	Paper Only
Other-Survey	0990-0313-NBCUS_Combined_Rev2_0710.pdf	No	No	Paper Only
Instruction	Attachment A NBUCS.pdf	No	No	Paper Only
Other-Letter	Attachment B NBUCS.pdf	No	No	Paper Only
Other-Survey	Attachment C NBCUS.pdf	No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,000	0	3,000
Annual IC Time Burden (Hours)	3,000	-6,000	9,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.