Disease Classification

Stem Cell Therapeutic Outcomes Database

OMB: 0915-0310

IC ID: 237622

Information Collection (IC) Details

View Information Collection (IC)

Disease Classification
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2 Form 2402 R5.pdf Disease Classification Form 2402 R5.pdf Yes Yes Fillable Fileable
Form 2-2 Draft 2402 R6.docx Disease Classification 2 Draft 2402 R6.docx Yes Yes Fillable Fileable

Health Health Care Services

 

200 0
   
Private Sector Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 9,600 0 0 0 0 9,600
Annual IC Time Burden (Hours) 4,160 0 0 0 0 4,160
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Proposed Changes to Form 03.11.2020 Disease Classification Form 2402 Proposed Changes.docx 03/16/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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