Form 2890-Stem Cell

Human Embryonic Stem Cell Line

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0601 can be found here:

Documents and Forms

Document Name Document Type
Attachment 2 Instructions NIH Form 2890.pdf Instruction
1 NIH 2890 Attachment 1 NIH Form 2890.pdf Form

Information Collection (IC) Details

IC Title:	Form 2890-Stem Cell	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Attachment 2 Instructions NIH Form 2890.pdf		Yes	Yes	Printable Only
Form	1	NIH 2890	Attachment 1 NIH Form 2890.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150	-150	300
Annual IC Time Burden (Hours)	2,550	1,650	900
Annual IC Cost Burden (Dollars)	0	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.