Information Collection

2011 National Blood Collection and Utilization Survey

IC 180443 under ICR 201405-0990-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
0990-0313 Hospital Final Draft 2011 NBCUS Instrument w Instructions.docx	Other-survey
Attachment H NBCUS.pdf Committee	IC Document

IC Title:

2011 National Blood Collection and Utilization Survey

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
Other-survey			0990-0313 Hospital Final Draft 2011 NBCUS Instrument w Instructions.docx		Yes	Yes	Fillable Printable

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	3,000	3,000
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.