Information Collection

Enterprise Blood Management System – Donor Post Implementation Review

IC 237573 under ICR 201909-0704-018 · OMB 0704-0553.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Enterprise Blood Management System â Donor Post Implementation Review

Agency IC Tracking Number:

0704-0053

IC Status: Unchanged

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
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 %

table that charts list of burden
	Requested	Previously Approved
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

table that charts IC Documents
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.