Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1-Year Post-TED New 8000 5200 0 Form 6 1-Year Post-TED
100-Day Post-TED New 9600 8160 0 Form 4 100 DayPost-TED.pdf
2-Year Post-TED New 6800 4420 0 Form 7 2-Year Post-TED
3-Years Post-TED New 34400 17773 0 Form 8 3-Years Post-TED
6-Month Post-TED New 8600 7310 0 Form 5 6-Month Post-TED
Baseline Pre-TED (Transplant Essential Data) Modified 9600 6560 0 Form 1 Baseline Pre-TED (Transplant Essential Data)
Disease Classification New 9600 4160 0 Form 2 Disease Classification
Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) New 9000 9000 0 Form 3 ProductForm-Infusion, HLA, Infectious Disease Marker.pdf
Stem Cell Therapeutic Outcomes Database (Post-Trans) Removed 0 0 0 Form 1 Draft 2450 r4. Post-TED form.doc
Instruction
Instruction
Stem Cell Therapeutic Outcomes Database (Product Form) Removed 0 0 0 Form 1 Form_2006_R4+. Hematopoietic Cellular Transplant (HCT) Infusion
Instruction
Form 2 Draft Product Form 2005 HLA r6
Instruction
Form 3 Form_2004_R4+. Infectious Disease Markers
Instruction
Total burden requested under this ICR: 95600 62583 0  
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