Stem Cell Therapeutic Outcomes Database

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 8 3+ Years Post-TED 2450 R5 (current, approved for).pdf	Form	Modified	Repair queued
Form 8 3+ Years Post-TED	Form	Modified	Repair queued
Form 7 2 Year Post-TED 2450 R5 (current, approved for).pdf	Form	Unchanged	Repair queued
Form 7 2-Year Post-TED	Form	Unchanged	Repair queued
Form 6 1 Year Post-TED 2450 R5 (current, approved for)	Form	Unchanged	Available
Form 6 1-Year Post-TED	Form	Unchanged	Repair queued
Form 5 6 Month Post-TED - 2450 R5 (current, approved for).pdf	Form	Unchanged	Available
Form 5 6-Month Post-TED	Form	Unchanged	Repair queued
Form 4 100 Post-TED - 2450 R5 (current, approved for).pdf	Form	Unchanged	Repair queued
Form 4 100-Day Post-TED	Form	Unchanged	Repair queued
Form 3C Infectious Disease Markers - 2004 R5 (current approved for).pdf	Form	Unchanged	Available
Form 3B HLA - 2005 R7 (current approved for).pdf	Form	Unchanged	Available
Form 3A Infusion - 2006 R5 (current approved for).pdf	Form	Unchanged	Available
Form 3A Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts)	Form	Unchanged	Repair queued
Form 2 2402 R6 (current approved for).pdf	Form	Unchanged	Available
Form 2 Disease Classification	Form	Unchanged	Repair queued
Form 1B FORM 1 - 2400 R8.pdf	Form	Modified	Available
Form 1A PandemicImpactTemplate.xlsx PRE-TED	Form	Modified	Available
Form 1A Baseline Pre-TED (Transplant Essential Data)	Form	Modified	Repair queued
60 Day FRN.pdf	Supplementary Document	Uploaded 2022-02-09	Repair queued
Supporting Statement A - CLEAN 2.8.22.docx	Supporting Statement A	Uploaded 2022-02-09	Repair queued
ATTACH - UNOS DLA HRSA Meeting Agenda.docx	Supplementary Document	Uploaded 2021-09-03	Repair queued
HRSA SIGNED Memo for OIRA 8-30-31.pdf	Supplementary Document	Uploaded 2021-09-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237628	3+ Years Post-TED	Form	Modified	3+ Years Post-TED 2450 R5 (current, approved for).pdf
237628	3+ Years Post-TED	Form	Modified
237628	3+ Years Post-TED	Other-changes/adds in blue highlight	Modified
237627	2-Year Post-TED	Form	Unchanged	2 Year Post-TED 2450 R5 (current, approved for).pdf
237627	2-Year Post-TED	Form	Unchanged
237627	2-Year Post-TED	Other-changes/adds in blue highlight	Unchanged
237626	1-Year Post-TED	Form	Unchanged	1 Year Post-TED 2450 R5 (current, approved for)
237626	1-Year Post-TED	Form	Unchanged
237626	1-Year Post-TED	Other-changes/adds in blue highlight	Unchanged
237625	6-Month Post-TED	Form	Unchanged	6 Month Post-TED - 2450 R5 (current, approved for).pdf
237625	6-Month Post-TED	Form	Unchanged
237625	6-Month Post-TED	Other-changes/adds in blue highlight	Unchanged
237624	100-Day Post-TED	Form	Unchanged	100 Post-TED - 2450 R5 (current, approved for).pdf
237624	100-Day Post-TED	Form	Unchanged
237624	100-Day Post-TED	Other-changes/adds in blue highlight	Unchanged
237623	Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts)	Form	Unchanged	Infectious Disease Markers - 2004 R5 (current approved for).pdf
237623	Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts)	Form	Unchanged	HLA - 2005 R7 (current approved for).pdf
237623	Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts)	Form	Unchanged	Infusion - 2006 R5 (current approved for).pdf
237623	Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts)	Form	Unchanged
237622	Disease Classification	Form	Unchanged	2402 R6 (current approved for).pdf
237622	Disease Classification	Form	Unchanged
180280	Baseline Pre-TED (Transplant Essential Data)	Form	Modified	FORM 1 - 2400 R8.pdf
180280	Baseline Pre-TED (Transplant Essential Data)	Form	Modified	PandemicImpactTemplate.xlsx PRE-TED
180280	Baseline Pre-TED (Transplant Essential Data)	Form	Modified
180280	Baseline Pre-TED (Transplant Essential Data)	Other-changes/adds in blue highlight	Modified

ICR Details

OMB Control No: 0915-0310	ICR Reference No: 202202-0915-001
Status: Historical Active	Previous ICR Reference No: 202109-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No: 21065
Title: Stem Cell Therapeutic Outcomes Database
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/14/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/10/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2025	36 Months From Approved	03/31/2022
Responses	95,600	0	95,600
Time Burden (Hours)	63,031	0	63,031
Cost Burden (Dollars)	0	0	0

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Abstract: Given the rapid evolution of COVID-19 and its impact on those with compromised immune systems, it is imperative for the transplant community to quickly collect and update COVID-19 related data. Having access to COVID-19 vaccination status on bone marrow recipients and understanding immune responses will assist with making informed decisions regarding direct clinical care. This information will also help clinicians and researchers make informed policy decisions. For example, CDC advisors are looking for COVID-19 vaccination data on blood stem cell transplant recipients; however, collecting these data on existing OMB forms is not yet approved; therefore, this vital information has not been collected. The CDC could potentially use this information to make informed decisions regarding whether to issue any recommendations for this medically vulnerable population.

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Authorizing Statute(s): PL: Pub.L. 109 - 129 0 Name of Law: The Stem Cell Therapeutic and Research Reauthorization Act of 2010
   US Code: 42 USC 24K, section 379 Name of Law: TRANSPLANT Act of 2021
   PL: Pub.L. 111 - 148 0 Name of Law: TRANSPLANT Act of 2021’’
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 67478	11/26/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 6610	02/04/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
1-Year Post-TED	6	1 Year Post-TED 2450 R5 (current, approved for)
100-Day Post-TED	4	100 Post-TED - 2450 R5 (current, approved for).pdf
2-Year Post-TED	7	2 Year Post-TED 2450 R5 (current, approved for).pdf
3+ Years Post-TED	8	3+ Years Post-TED 2450 R5 (current, approved for).pdf
6-Month Post-TED	5	6 Month Post-TED - 2450 R5 (current, approved for).pdf
Baseline Pre-TED (Transplant Essential Data)	1B, 1A	PandemicImpactTemplate.xlsx PRE-TED ,   FORM 1 - 2400 R8.pdf
Disease Classification	2	2402 R6 (current approved for).pdf
Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts)	3A, 3B, 3C	Infusion - 2006 R5 (current approved for).pdf ,   HLA - 2005 R7 (current approved for).pdf ,   Infectious Disease Markers - 2004 R5 (current approved for).pdf

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ICR Summary of Burden

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)	63,031	63,031	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $4,601,550

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/10/2022

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