ATTACHMENT B COLLECTION PROGRESS REPORTS.xls

XLS spreadsheet 61 KB Posted

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National Cord Blood Inventory Augmentation, Third Cohort
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08-N234-6002-dm
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Attachment B

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QUESTIONS RECEIVED 08-N234-6002-dm.doc DOC document
RFP.doc DOC document
ATTACHMENT H CERTIFICATE OF CURRENT COST OR PRICING DATA.doc DOC document
Invitational Letter.doc DOC document
ATTACHMENT F PAST PERFORMANCE QUESTIONNAIRE AND LETTER.doc DOC document
ATTACHMENT E DISCLOSURE OF LOBBYING ACTIVITIES.doc DOC document
ATTACHMENT D BUSINESS PROPOSAL TABLES.xls XLS spreadsheet
ATTACHMENTG COST PROPOSAL FORMAT.doc DOC document
ATTACHMENT C SUMMARY TABLES.xls XLS spreadsheet
ATTACHMENT A SOW.doc DOC document
C.W. Bill Young Transplantation Program Information.doc DOC document
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Table 1

Table 1: Current Inventory and Projections*
Contractor:Contract #:
Report Date:Report Period:
Race/EthnicityCBB Public Inventory (NCBI & non-NCBI)NCBI CBUCBB Collection History (NCBI & non-NCBI)CBU Projections
Total # of CBU Available through CBCCTotal # CBU made available for search through CBCC this report periodCumulative # NCBI CBU Available for search through CBCCCumulative # CBU Collected (current contract year)Cumulative # CBU Processed (current contract year)Cumulative # CBU added to Public Inventory (current contract year)Projected # CBU Banked Next Reporting PeriodProjected # NCBI CBU Billed to HRSA Next Reporting Period
AI/AN1
B/AA1
Asian1
NH/PI1
White (non-Hispanic)
White (Hispanic)
Multi-Race2
Unknown/Declined
CBU Total
*This information may be provided in a different format as agreed to by the project officer.
1Hispanic or non-Hispanic Ethnicity
2Two or more broad races (i.e., AI/AN, B/AA, Asian, NH/PI, or White Caucasian). Note that Hispanic should not be considered a race.

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Table 2

Table 2: NCBI CBU Characteristics (Current Invoice)*
Contractor:Contract #:
Report Date:Report Period:
CBU Identifiers (as applicable)General CBU InformationFinal Race Roll-upPost Processing Characteristics
Bank Unit #Coordinating Center Unit #Collection Date (birth date)Date Available for Search through Coordinating CenterAI/AN1, B/AA1, A1, NH/PI1, W2, Multi-race3, or Hispanic4TNC (x107)Percent Viability TNCViable CD 34+ Content
1
2
3
4
5
*This information may be provided in a different format as agreed to by the project officer (e.g., a CordLink or similar query of an inventory management system). This information may be provided in a combined report with the information requested on Table 3 as long as NCBI and non-NCBI CBU are clearly segregated and identifiable. When invoicing for CBU collected more than 4-months prior to the invoice date, this report must include a summary note explaining the reason(s) for the delay(s).
1Hispanic or non-Hispanic Ethnicity
2non-Hispanic
3Two or more broad races (i.e., AI/AN, B/AA, Asian, NH/PI, or White/Caucasian). Note that Hispanic should not be considered a race.
4Hispanic ethnicity and white/Caucasian race.

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Table 3

Table 3: Non-NCBI CBU Characteristics (CBU Made Fully Available for Search During Current Invoicing Period)*
Contractor:Contract #:
Report Date:Report Period:
CBU Identifiers (as applicable)General CBU InformationFinal Race Roll-upPost Processing Characteristics
Bank Unit #Coordinating Center Unit #Collection Date (birth date)Date Available for Search through Coordinating CenterAI/AN1, B/AA1, A1, NH/PI1, W2, Multi-race3, or Hispanic4TNC (x107)Percent Viability TNCViable CD 34+ Content
1
2
3
4
5
*This information may be provided in a different format as agreed to by the project officer (e.g., a CordLink or similar query of an inventory management system). This information may be provided in a combined report with the information requested on Table 2 as long as NCBI and non-NCBI CBU are clearly segregated and identifiable.
1Hispanic or non-Hispanic Ethnicity
2non-Hispanic
3Two or more broad races (i.e., AI/AN, B/AA, Asian, NH/PI, or White/Caucasian). Note that Hispanic should not be considered a race.
4Hispanic ethnicity and white/Caucasian race.

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Table 4

Table 4: CBU for Research
Contractor:Contract #:
Report Date:Report Period:
Required InformationAs Available
Bank Unit #Collection Date (birth date)Date Released for ResearchEntity Receiving Research CBUClinical/ Non-Clinical Research (C/NC)Reason not suitable for HPC TransplantCharge to Researcher (amount)Fresh or Cryo-preserved (F/C)Sex (M, F, Unk)Hispanic Ethnicity (Y, N, Unk)Race (AI/AN, B/AA, A, NH/PI, W, Multi, Unk, Other)
1
2
3
4
5

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Table 5

Table 5: CBU Released for Transplantation (NCBI & non-NCBI)
Contractor:Contract #:
Report Date:Report Period:
Required Information*
CBU Identifiers (as applicable)General CBU InformationPost Thaw CBU Characteristics (as available)Patient Information (as available)
Bank Unit #*Coordinating Center Unit #*NCBI CBU (Y/N)*CBU Collection DateCBU Infusion DateDistributed Through CBCC (Y/N)Hispanic Ethnicity (Y/N)Race (AI/AN, B/AA, A, NH/PI, W, Multi, Unk/Decl., Other)TNC (x107)Percent Viability TNCViable CD 34+ ContentCFU (Growth/no-growth)Hispanic Ethnicity (Y/N)Race (AI/AN, B/AA, A, NH/PI, W, Multi, Unk/Decl., Other)Patient Weight (kg)Number of CBU
1
2
3
4
5
*At a minimum, this information should be provided monthly covering the invoicing period. The remaining information may be provided monthly or submitted as a quarterly summary statement in a similar format as agreed to by the project officer (e.g., a quarterly outcomes report provided by the Cord Blood Coordinating Center or Stem Cell Therapeutic Outcomes Database). Quarterly reports must include information on CBU released through the Coordinating Center as well as those released outside of the Coordinating Center.

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