Information Collection

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

IC 180280 under ICR 201701-0915-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
F2400 Pre TED. Manual.pdf	Instruction
1 Form_2400_R4+. Pre-Transplant Essential Data (Pre-Ted Fo Form_2400_R4+. Pre-Transplant Essential Data.pdf	Form

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	Form_2400_R4+. Pre-Transplant Essential Data (Pre-Ted Form 2400)	Form_2400_R4+. Pre-Transplant Essential Data.pdf		Yes	Yes	Fillable Fileable
Instruction			F2400 Pre TED. Manual.pdf		Yes	No	Printable Only

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

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	8,800	8,800
Annual IC Time Burden (Hours)	10,120	10,120
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.