Information Collection

Stem Cell Therapeutic Outcomes Database (Pre-TED Form 2400)

IC 180280 under ICR 201312-0915-004 · OMB 0915-0310.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0310 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Stem Cell Therapeutic Outcomes Database (Pre-TED Form 2400)	Form
1 Pre-TED Form 2400 1-Form_2400 pre-TED R4+[1].pdf	Form
1-Instructions 2400 Pre-TED_v3.0.pdf Instructions	IC Document

IC Title:

Stem Cell Therapeutic Outcomes Database (Pre-TED Form 2400)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	1	Pre-TED Form 2400	1-Form_2400 pre-TED R4+[1].pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	7,600	7,600
Annual IC Time Burden (Hours)	7,600	7,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Instructions	1-Instructions 2400 Pre-TED_v3.0.pdf	12/12/2013

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