Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1-Year Post-TED Unchanged 8000 5200 0 Form 6 1 YEAR POST-TED 4-7-20
Form 6 R 1 YEAR POST-TED REDLINE 4-7-20
100-Day Post-TED Unchanged 9600 8160 0 Form 4 100 day Post-TED 4-7-20
Form 4 R 100 day Post-TED REDLINE 4-7-20
2-Year Post-TED Unchanged 6800 4420 0 Form 7 2 YEAR POST-TED 4-7-20
Form 7 R 2 YEAR POST-TED REDLINE 4-7-20
3-Years Post-TED Unchanged 34400 17773 0 Form 8 3 YEAR POST-TED 4-7-20
Form 8 R 3 YEARS POST-TED REDLINE 4-7-20
6-Month Post-TED Unchanged 8600 7310 0 Form 5 6 MONTH POST-TED 4-7-20
Form 5 R 6 MONTH POST-TED REDLINE 4-7-20
Baseline Pre-TED (Transplant Essential Data) Unchanged 9600 6560 0
Disease Classification Modified 9600 4160 0 Form and Instruction 2 Disease Classification Form 2402 R5.pdf
Product Form (Includes Infusion, HLA, and Infectious Disease Marker Inserts) Modified 9000 9000 0 Form and Instruction 3 HCT 2402 FORM R6
Total burden requested under this ICR: 95600 62583 0  
To view an IC, click on IC Title