Information Collection Request

Stem Cell Therapeutic Outcomes Database

ICR 202003-0915-002 · OMB 0915-0310 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8 3-Years Post-TED Form Unchanged Available
Form 7 2-Year Post-TED Form Unchanged Available
Form 6 1-Year Post-TED Form Unchanged Repair queued
Form 5 6-Month Post-TED Form Unchanged Available
Form 4 100 DayPost-TED.pdf Form Unchanged Available
Form 3 ProductForm-Infusion, HLA, Infectious Disease Marker.pdf Form Unchanged Available
Form 2 Disease Classification Form Modified Available
Form 1 Baseline Pre-TED (Transplant Essential Data) Form Modified Available
03.11.2020 Change Memo - OMB SCTOD Forms.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-03-16 Available
Form Change Summary TED Forms - Round 2 CLEAN.docx Supplementary Document Uploaded 2019-09-03 Available
CIBMTR HIPAA Letter 03.26.08.pdf Supplementary Document Uploaded 2019-09-03 Available
06.13.19 - Published 60-Day SCTOD FRN 03.07.19.pdf .pdf Supplementary Document Uploaded 2019-09-03 Available
Supporting Statement A .docx Supporting Statement A Uploaded 2019-09-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
237628 3-Years Post-TED Form Unchanged3-Years Post-TED
237627 2-Year Post-TED Form Unchanged2-Year Post-TED
237626 1-Year Post-TED Form Unchanged1-Year Post-TED
237625 6-Month Post-TED Form Unchanged6-Month Post-TED
237624 100-Day Post-TED Form Unchanged100 DayPost-TED.pdf
237623 Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) Form UnchangedProductForm-Infusion, HLA, Infectious Disease Marker.pdf
237622 Disease Classification Form ModifiedDisease Classification
180280 Baseline Pre-TED (Transplant Essential Data) Form ModifiedBaseline Pre-TED (Transplant Essential Data)

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2022 10/31/2022 10/31/2022
95,600 0 95,600
62,583 0 62,583
0 0 0





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
1-Year Post-TED 6
100-Day Post-TED 4
2-Year Post-TED 7
3-Years Post-TED 8
6-Month Post-TED 5
Baseline Pre-TED (Transplant Essential Data) 1
Disease Classification 2
Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) 3

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 95,600 95,600 0 0 0 0
Annual Time Burden (Hours) 62,583 62,583 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No