Information Collection Request

Stem Cell Therapeutic Outcomes Database

ICR 202103-0915-003 · OMB 0915-0310 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8 3-Years Post-TED Form Modified Repair queued
Form 7 2-Year Post-TED Form Modified Repair queued
Form 6 1-Year Post-TED Form Modified Repair queued
Form 5 6-Month Post-TED Form Modified Repair queued
Form 4 100-Day Post-TED Form Modified Missing upstream
Form 3 Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) Form Unchanged Repair queued
Form 2 Disease Classification Form Unchanged Repair queued
Form 1 Baseline Pre-TED (Transplant Essential Data) Form Modified Repair queued
03222021 - OMB Memo - SCTOD Death Change Memo Package - CLEAN.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-03-29 Repair queued
03222021 - OMB Memo - SCTOD Vaccine Change Memo Package - CLEAN.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-03-29 Repair queued
Change Memo - Change Memo Package SCTOD OMB 0915-0310.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-11-30 Repair queued
2020 HRSA COVID-19 Pandemic Data Collection FINAL 2020-07-24.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-07-28 Repair queued
Summer (July) 2020 OMB Request for Non-Substantive Change FINAL 2020-07-17.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-07-28 Available
04.07.2020 Change Memo - OMB 0915-0310 SCTOD Change COVID-19.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-04-08 Repair queued
03.11.2020 Change Memo - OMB SCTOD Forms.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-03-16 Repair queued
Form Change Summary TED Forms - Round 2 CLEAN.docx Supplementary Document Uploaded 2019-09-03 Repair queued
CIBMTR HIPAA Letter 03.26.08.pdf Supplementary Document Uploaded 2019-09-03 Repair queued
06.13.19 - Published 60-Day SCTOD FRN 03.07.19.pdf .pdf Supplementary Document Uploaded 2019-09-03 Repair queued
Supporting Statement A .docx Supporting Statement A Uploaded 2019-09-03 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
237628 3-Years Post-TED Form Modified
237627 2-Year Post-TED Form Modified
237626 1-Year Post-TED Form Modified
237625 6-Month Post-TED Form Modified
237624 100-Day Post-TED Form Modified
237623 Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) Form Unchanged
237622 Disease Classification Form Unchanged
180280 Baseline Pre-TED (Transplant Essential Data) Form Modified

ICR Details

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





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
1-Year Post-TED 6, 6 R, 9, 9 R Form 2450 R5 - CURRENT.pdf 1 YEAR POST-TED 3/29/21 ,   Form 2450 R6 - REDLINE.docx 1 YEAR POST-TED 3/29/21 ,   Form 2900 R4 - CURRENT.pdf ,   Form 2900 R5 - REDLINE.docx
100-Day Post-TED 4, 4 R, 9, 9 R Form 2450 R5 - CURRENT.pdf 100 day Post-TED 3/29/21 ,   Form 2450 R6 - REDLINE.docx 100 day Post-TED 3/29/21 ,   Form 2900 R4 - CURRENT.pdf ,   Form 2900 R5 - REDLINE.docx
2-Year Post-TED 7, 7 R, 9 , 9 R Form 2450 R5 - CURRENT.pdf 2 YEAR POST-TED 3/29/21 ,   Form 2450 R6 - REDLINE.docx 2 YEAR POST-TED 3/29/21 ,   Form 2900 R4 - CURRENT.pdf ,   Form 2900 R5 - REDLINE.docx
3-Years Post-TED 8 R, 8, 9 R, 9 Form 2450 R5 - CURRENT.pdf 3 YEAR POST-TED 3/29/21 ,   Form 2450 R6 - REDLINE.docx 3 YEAR POST-TED 3/29/21 ,   Form 2900 R4 - CURRENT.pdf ,   Form 2900 R5 - REDLINE.docx
6-Month Post-TED 5, 5 R, 9, 9 R Form 2450 R5 - CURRENT.pdf 6 MONTH POST-TED 3/29/21 ,   Form 2450 R6 - REDLINE.docx 6 MONTH POST-TED 3/29/21 ,   Form 2900 R4 - CURRENT.pdf ,   Form 2900 R5 - REDLINE.docx
Baseline Pre-TED (Transplant Essential Data) 1, 2R, 2 PandemicImpactTemplate.xlsx PRE-TED ,   Form 2400 R8 - CURRENT.pdf ,   Form 2400 R9 - REDLINE.docx
Disease Classification 2, 2-2 Form 2402 R5.pdf Disease Classification ,   Draft 2402 R6.docx Disease Classification 2
Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) 3 FormProductForm-Infusion, HLA, Infectious Disease Marker.pdf

table that charts list of burden
  Total Request 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