Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Document and maintain health care worker exposure records New 1 0 0 Other-PHS Guideline
Document complete necropsy results New 8 2 0 Other-PHS Guideline
Document justification of quarantine period New 1 1 0 Other-PHS Guideline
Document location and nature of archived specimens in health care records New 12 1 0 Other-PHS Guideline
Document monitoring program results New 32 8 0 Other-PHS Guideline
Document necropsy investigations New 8 2 0 Other-PHS Guideline
Document presence/absence of infectious agent New 1 0 0 Other-PHS Guideline
Document xenotransplant procedures New 2 1 0 Other-PHS Guideline
Establish records regarding xenotransplantation product recipient New 1 16 0 Other-PHS Guideline
Maintain archives of Source Animal Medical Records New 8 1 0 Other-PHS Guideline
Maintain health care worker monitoring records New 1 0 0 Other-Guidance
Maintain health care worker monitoring records New 50 9 0 Other-PHS Guideline
Maintain medical and research records New 2 2 0 Other-PHS Guideline
Maintain summary of source animal records New 2 0 0 Other-PHS Guideline
Notify FDA regarding new archive site Modified 1 1 0 Other-PHS Guideline
Notify sponsor regarding infectious agent in source animal/herd New 1 0 0 Other-PHS Guideline
Notify sponsor regarding new archive site New 1 1 0 Other-PHS Guideline
Provide SOPs of source animal facility to appropriate review bodies New 2 0 0 Other-PHS Guideline
Provide informed consent document regarding potentially increased infectious risk New 1 0 0 Other-PHS Guideline
Provide xenotransplant product recipient records to appropriate review bodies New 4 2 0 Other-PHS Guideline
Total burden requested under this ICR: 139 47 0  
To view an IC, click on IC Title