Information Collection

Submission of Information on Specimen Samples

IC 185192 under ICR 201803-0648-006 · OMB 0648-0468.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0468 can be found here:

Documents and Forms

Document Name Document Type
tissuebank_instructions.pdf Instruction
NMMTB form tissuebank_form.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Submission of Information on Specimen Samples	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			tissuebank_instructions.pdf		Yes	No	Printable Only
Form	NA	NMMTB form	tissuebank_form.docx		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 7

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	0	100
Annual IC Time Burden (Hours)	75	-25	100
Annual IC Cost Burden (Dollars)	80	0	80

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.