Information Collection

Submission of Information on Specimen Samples

IC 185192 under ICR 201412-0648-013 · OMB 0648-0468.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0468 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Submission of Information on Specimen Samples	Form
tissuebank_instructions.pdf	Instruction
NMMTB form NMMTB_Tissue_Submission_Form01052015 (1).pdf	Form

IC Title:

Submission of Information on Specimen Samples

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	NA	NMMTB form	NMMTB_Tissue_Submission_Form01052015 (1).pdf		Yes	No	Fillable Printable
Instruction			tissuebank_instructions.pdf		Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 10

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	0	100
Annual IC Time Burden (Hours)	100	25	75
Annual IC Cost Burden (Dollars)	80	0	80

Documents for IC

table that charts IC Documents
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.