Information Collection

Hospitals, blood collection centers, cord blood banks

IC 180443 under ICR 201010-0990-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0990-0313 Hospitals, blood collection centers, cord blood banks	Form and Instruction
0990-0313 NBCUS Survey 0990-0313-NBCUS_Combined_Rev2_0710.pdf	Form and Instruction
Attachment H NBCUS.pdf Committee	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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0990-0313	NBCUS Survey	0990-0313-NBCUS_Combined_Rev2_0710.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: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	9,000	9,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Committee	Attachment H NBCUS.pdf	05/24/2007

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