Information Collection Request

Stem Cell Therapeutic Outcomes Database

ICR 202207-0915-001 · OMB 0915-0310 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8 3+ Years Post-TED 2450 R5 (current, approved for).pdf Form Removed Repair queued
Form 8 3+ Years Post-TED Form Removed Repair queued
Form 7 2 Year Post-TED 2450 R5 (current, approved for).pdf Form Removed Repair queued
Form 7 2-Year Post-TED Form Removed Repair queued
Form 6 1 Year Post-TED 2450 R5 (current, approved for) Form Removed Available
Form 6 1-Year Post-TED Form Removed Repair queued
Form 5 6 Month Post-TED - 2450 R5 (current, approved for).pdf Form Removed Repair queued
Form 5 6-Month Post-TED Form Removed Repair queued
Form 4 100 Post-TED - 2450 R5 (current, approved for).pdf Form Removed Available
Form 4 100-Day Post-TED Form Removed Repair queued
Form 3C Infectious Disease Markers - 2004 R5 (current approved for).pdf Form Removed Available
Form 3B HLA - 2005 R7 (current approved for).pdf Form Removed Repair queued
Form 3A Infusion - 2006 R5 (current approved for).pdf Form Removed Repair queued
Form 3A Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) Form Removed Repair queued
Form 2 2402 R6 (current approved for).pdf Form Removed Available
Form 2 Disease Classification Form Removed Repair queued
Form 1B FORM 1 - 2400 R8.pdf Form Removed Available
Form 1A PandemicImpactTemplate.xlsx PRE-TED Form Removed Available
Form 1A Baseline Pre-TED (Transplant Essential Data) Form Removed Repair queued
Supporting Statement _ SCTOD _ CLEAN 7.13.2022.docx Supporting Statement A Uploaded 2022-07-13 Repair queued
6 - Change Summary_to HRSA 2022-03-29.pdf Supplementary Document Uploaded 2022-07-13 Repair queued
5e - Information Collection Domain_Pre-Transplant Information Collection _SCTOD.xlsx Supplementary Document Uploaded 2022-07-13 Available
5d - Header Definitions_to HRSA 2022-03-29.pdf Supplementary Document Uploaded 2022-07-13 Missing upstream
5c - Post-Transplant Info Collection_to HRSA 2022-03-29.pdf Supplementary Document Uploaded 2022-07-13 Repair queued
5b - Product Procedure Info Collection_to HRSA 2022-03-29.pdf Supplementary Document Uploaded 2022-07-13 Repair queued
5a - Pre-Transplant Info Collection_to HRSA 2022-03-29.pdf Supplementary Document Uploaded 2022-07-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
254631 Post-Transplant Periodic Information Collection based on Predetermined Schedule Other-Information to Private Sector New
254630 Transplant Procedure and Product Information Other-Information for Private Entites New
254628 Pre-Transplant Information Collection Other-Information to Private Sector New
237628 3+ Years Post-TED Form Removed3+ Years Post-TED 2450 R5 (current, approved for).pdf
237628 3+ Years Post-TED Form Removed
237628 3+ Years Post-TED Other-changes/adds in blue highlight Removed
237627 2-Year Post-TED Form Removed2 Year Post-TED 2450 R5 (current, approved for).pdf
237627 2-Year Post-TED Form Removed
237627 2-Year Post-TED Other-changes/adds in blue highlight Removed
237626 1-Year Post-TED Form Removed1 Year Post-TED 2450 R5 (current, approved for)
237626 1-Year Post-TED Form Removed
237626 1-Year Post-TED Other-changes/adds in blue highlight Removed
237625 6-Month Post-TED Form Removed6 Month Post-TED - 2450 R5 (current, approved for).pdf
237625 6-Month Post-TED Form Removed
237625 6-Month Post-TED Other-changes/adds in blue highlight Removed
237624 100-Day Post-TED Form Removed100 Post-TED - 2450 R5 (current, approved for).pdf
237624 100-Day Post-TED Form Removed
237624 100-Day Post-TED Other-changes/adds in blue highlight Removed
237623 Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) Form RemovedInfectious Disease Markers - 2004 R5 (current approved for).pdf
237623 Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) Form RemovedHLA - 2005 R7 (current approved for).pdf
237623 Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) Form RemovedInfusion - 2006 R5 (current approved for).pdf
237623 Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) Form Removed
237622 Disease Classification Form Removed2402 R6 (current approved for).pdf
237622 Disease Classification Form Removed
180280 Baseline Pre-TED (Transplant Essential Data) Form RemovedFORM 1 - 2400 R8.pdf
180280 Baseline Pre-TED (Transplant Essential Data) Form RemovedPandemicImpactTemplate.xlsx PRE-TED
180280 Baseline Pre-TED (Transplant Essential Data) Form Removed
180280 Baseline Pre-TED (Transplant Essential Data) Other-changes/adds in blue highlight Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2025 36 Months From Approved 03/31/2025
75,101 0 95,600
75,101 0 63,031
0 0 0





Reginfo record details
3
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) 1B, 1A ,  
Disease Classification 2
Post-Transplant Periodic Information Collection based on Predetermined Schedule
Pre-Transplant Information Collection
Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) 3A, 3B, 3C ,   ,  
Transplant Procedure and Product Information

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 75,101 95,600 0 7,701 -28,200 0
Annual Time Burden (Hours) 75,101 63,031 0 33,678 -21,608 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No