Enterprise Blood Management System (EBMS)

ICR 201404-0720-003

OMB: 0720-0057

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2014-04-24
Supplementary Document
2014-04-19
Supplementary Document
2014-04-19
Supplementary Document
2014-04-19
Supplementary Document
2014-04-19
Supporting Statement A
2015-01-15
IC Document Collections
ICR Details
0720-0057 201404-0720-003
Historical Active
DOD/DODOASHA
Enterprise Blood Management System (EBMS)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/16/2015
Retrieve Notice of Action (NOA) 04/24/2014
  Inventory as of this Action Requested Previously Approved
01/31/2018 36 Months From Approved
4,600 0 0
767 0 0
12,806 0 0

EBMS is a family of related automated information systems (AIS) comprised of two separate and distinct commercial-off-the-shelf (COTS) software applications that provides the Military Health System (MHS) with a comprehensive enterprise wide Blood Donor Management System(BDMS) and a Blood Management Blood Bank and Transfusion Service (BMBB/TS).

None
None

Not associated with rulemaking

  77 FR 71173 11/29/2012
79 FR 21902 04/18/2014
No

1
IC Title Form No. Form Name
Enterprise Management Blood System

  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 4,600 0 0 4,600 0 0
Annual Time Burden (Hours) 767 0 0 767 0 0
Annual Cost Burden (Dollars) 12,806 0 0 12,806 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$32,127,676
No
No
No
No
No
Uncollected
Frederick Licari 571 372-0493 frederick.c.licari.civ@mail.mil

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/24/2014


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