Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts)

Stem Cell Therapeutic Outcomes Database

OMB: 0915-0310

IC ID: 237623

Information Collection (IC) Details

View Information Collection (IC)

Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts)
 
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 3 FormProductForm-Infusion, HLA, Infectious Disease Marker.pdf FormProductForm-Infusion, HLA, Infectious Disease Marker.pdf 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 9,000 0 0 0 0 9,000
Annual IC Time Burden (Hours) 9,000 0 0 0 0 9,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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