Information Collection Request

PHS Guideline on Infectious Disease Issues in Xenotransplantation

ICR 201601-0910-012 · OMB 0910-0456 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
SUPPORTING STATEMENT FINAL 0456 1-27-2016.docx Supporting Statement A Uploaded 2016-01-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6147 Notify Sponor or FDA of New Archive Site When the Source Animal Facility or Sponsor Ceases Operations, Section 3.2.7.2 Other-PHS Guideline Modified
204798 Source Animal Facility to Notify Clinical Center when Infectious Agency is Identified in Source Animal or Herd After Xeno Product Procurement, 3.5.5 Other-PHS Guideline Modified
204797 Sponsor to make Linked Records Described in Section 3.2.7 Available for Review, 3.5.4 Other-PHS Guideline Modified
204796 Include Increased Infectious Risk in Inormed Consent if Source Animal Quarantine Period of 3 Weeks is Shortened, 3.5.1 Other-PHS Guideline Modified
204795 Standard Operating Procedures of Source Animal Facility Should be Available to Review Bodies, 3.4 Other-PHS Guideline Modified
204794 Notify Sponsor or FDA of New Archive Site When the Source Animal Facility or Sponsor Ceases Operations, 3.2.7.2 Other-PHS Guideline Modified
204793 Document Location and Nature of Archived PHS Specimens in Health Care Records for Xeno Product Recipient and Source Animal, 5.2 Other-PHS Guideline Modified
204792 Document Each Xenotransplant Procedures, 4.3.1 Other-PHS Guideline Modified
204791 Keep a Log of Health Care Workers, 4.2.3 and 4.3.2 Other-PHS Guideline Modified
204790 Record Base line sera of Xeno HealthCare Workers and Speciifc Nosocomial Exposure, 4.2.3.2 Other-PHS Guideline Modified
204789 Record base-line sera of Xeno Health Care Workers and Specific Nonsocomial Exposure, 4.2.3.2 Other-PHS Guideline Modified
204788 Link Xeno Product Recipients to Individual Source Animal Records and Archived Biologic Speciments, 3.7 Other-PHS Guideline Modified
204787 Document Complete Necropsy Results on Source Animals (50 year record retention), 3.6.4 Other-PHS Guideline Modified
204786 Maintain Summary of Individual Source Animal Record to Permanent Medical Record of the Xeno Product Recipient, 3.5.4 Other-PHS Guideline Modified
204785 Document Absence of Infectious Agent in Xeno Product if its Presence Elsewhere in Source Animal Does not Preclude Using It, 3.5.2 Other-PHS Guideline Modified
204784 Justify Shortening a Source Animal's Quarantine Period of 3 Weeks Prior to Xenotransplantation Product Procurement, 3.5.1 Other-PHS Guideline Modified
204783 Document Full Necropsy Investigations Including Evaluation for Infectious Etiologies, 3.4.3.2 Other-PHS Guideline Modified
204782 Document Results of Monitoring Program Used to Detect Introduction of Infectious Agents Which May not be Apparent Clinically, 3.4.2 Other-PHS Guideline Modified
204781 Sponsor to Maintain Cross-Referenced System that Links all Relevant Records, 4.3 Other-PHS Guideline Modified
204780 Establish Records Linking each Xenotransplantation Product Recipient with Relevant Records, Section 3.2.7 Other-PHS Guideline Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 06/30/2016
216 0 139
60 0 47
0 0 0





Reginfo record details
20
table that charts list of burden
IC Title Form No. Form Name
Sponsor to make Linked Records Described in Section 3.2.7 Available for Review, 3.5.4
Source Animal Facility to Notify Clinical Center when Infectious Agency is Identified in Source Animal or Herd After Xeno Product Procurement, 3.5.5
Notify Sponor or FDA of New Archive Site When the Source Animal Facility or Sponsor Ceases Operations, Section 3.2.7.2
Establish Records Linking each Xenotransplantation Product Recipient with Relevant Records, Section 3.2.7
Sponsor to Maintain Cross-Referenced System that Links all Relevant Records, 4.3
Document Results of Monitoring Program Used to Detect Introduction of Infectious Agents Which May not be Apparent Clinically, 3.4.2
Document Full Necropsy Investigations Including Evaluation for Infectious Etiologies, 3.4.3.2
Justify Shortening a Source Animal's Quarantine Period of 3 Weeks Prior to Xenotransplantation Product Procurement, 3.5.1
Document Absence of Infectious Agent in Xeno Product if its Presence Elsewhere in Source Animal Does not Preclude Using It, 3.5.2
Maintain Summary of Individual Source Animal Record to Permanent Medical Record of the Xeno Product Recipient, 3.5.4
Document Complete Necropsy Results on Source Animals (50 year record retention), 3.6.4
Link Xeno Product Recipients to Individual Source Animal Records and Archived Biologic Speciments, 3.7
Record base-line sera of Xeno Health Care Workers and Specific Nonsocomial Exposure, 4.2.3.2
Record Base line sera of Xeno HealthCare Workers and Speciifc Nosocomial Exposure, 4.2.3.2
Keep a Log of Health Care Workers, 4.2.3 and 4.3.2
Document Each Xenotransplant Procedures, 4.3.1
Document Location and Nature of Archived PHS Specimens in Health Care Records for Xeno Product Recipient and Source Animal, 5.2
Notify Sponsor or FDA of New Archive Site When the Source Animal Facility or Sponsor Ceases Operations, 3.2.7.2
Standard Operating Procedures of Source Animal Facility Should be Available to Review Bodies, 3.4
Include Increased Infectious Risk in Inormed Consent if Source Animal Quarantine Period of 3 Weeks is Shortened, 3.5.1

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 216 139 0 0 77 0
Annual Time Burden (Hours) 60 47 0 0 13 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No