Enterprise Blood Management System – Donor Post Implementation Review

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0553 can be found here:

Documents and Forms

Document Name Document Type
DRAFT EBMS-Donor End User Satisfaction Survey.docx.pptx Other-Survey
EBMS - One Pager.doc One Pager IC Document
BDMS PIR Plan_v1 0_20140807_Final_Signed 20140818.pdf PIR Plan IC Document

Information Collection (IC) Details

IC Title:	Enterprise Blood Management System – Donor Post Implementation Review	Agency IC Tracking Number:	0704-0053

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			DRAFT EBMS-Donor End User Satisfaction Survey.docx.pptx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	2,900	2,900

Documents for IC

Title	Document	Date Uploaded
One Pager	EBMS - One Pager.doc	08/28/2019
PIR Plan	BDMS PIR Plan_v1 0_20140807_Final_Signed 20140818.pdf	08/28/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.