Information Collection Request

Stem Cell Therapeutic Outcomes Database

ICR 202507-0915-003 · OMB 0915-0310 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Post-Transplant Pe Post-Transplant Periodic Information Collection based on Predetermined Schedule Form Modified Available
Form Post-Transplant Pe Post-Transplant Periodic Information Collection based on Predetermined Schedule Form Modified Missing upstream
Form Transplant Procedu Transplant Procedure and Product Information Form Modified Available
Form Transplant Procedu Transplant Procedure and Product Information Form Modified Repair queued
Form Pre-Transplant Inf Pre-Transplant Information Collection Form Modified Available
Form Pre-Transplant Inf Pre-Transplant Information Collection Form Modified Missing upstream
CIBMTR-HIPAA Ltr PHA Letter 2008Mar26.pdf Supplementary Document Uploaded 2025-07-30 Available
CIBMTR-HIPAA Ltr PHA Letter 2008Mar26.pdf Supplementary Document Uploaded 2025-07-30 Repair queued
Appendices Final_ 10July2025.pdf Supplementary Document Uploaded 2025-07-30 Available
Appendices Final_ 10July2025.pdf Supplementary Document Uploaded 2025-07-30 Repair queued
07102025 - Supporting Statement A - 051620255001 - CLEAN.docx Supporting Statement A Uploaded 2025-07-30 Available
07102025 - Supporting Statement A - 051620255001 - CLEAN.docx Supporting Statement A Uploaded 2025-07-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
254631 Post-Transplant Periodic Information Collection based on Predetermined Schedule Form ModifiedPost-Transplant Periodic Information Collection based on Predetermined Schedule
254631 Post-Transplant Periodic Information Collection based on Predetermined Schedule Form Modified
254631 Post-Transplant Periodic Information Collection based on Predetermined Schedule Instruction Modified
254630 Transplant Procedure and Product Information Form ModifiedTransplant Procedure and Product Information
254630 Transplant Procedure and Product Information Form Modified
254630 Transplant Procedure and Product Information Instruction Modified
254628 Pre-Transplant Information Collection Form ModifiedPre-Transplant Information Collection
254628 Pre-Transplant Information Collection Form Modified
254628 Pre-Transplant Information Collection Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2028 36 Months From Approved 09/30/2025
95,808 0 75,101
73,070 0 75,101
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Post-Transplant Periodic Information Collection based on Predetermined Schedule Post-Transplant Periodic Inform Tab
Pre-Transplant Information Collection Pre-Transplant Information Coll Tab
Transplant Procedure and Product Information Transplant Procedure_Product Tab

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 95,808 75,101 0 20,707 0 0
Annual Time Burden (Hours) 73,070 75,101 0 -2,031 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No