Information Collection

Form 2890-Stem Cell

IC 190155 under ICR 201605-0925-003 · OMB 0925-0601.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Form 2890-Stem Cell	Form
Attachment 2 Instructions NIH Form 2890-1.pdf	Instruction
1 Form 2890 Attachment 1 NIH Form 2890.pdf	Form

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:

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	Form 2890	Attachment 1 NIH Form 2890.pdf		Yes	Yes	Fillable Fileable
Instruction			Attachment 2 Instructions NIH Form 2890-1.pdf		Yes	Yes	Printable Only

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: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	2,550	2,550
Annual IC Cost Burden (Dollars)	0	0

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.