Organ Procurement and Transplantation Network and Scientific Registry of Transplant Recipients Data System

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
6389	Organ Procurement and Transplantation Network and Scientific Registry of Transplant Recipients Data System	Migrated

ICR Details

OMB Control No: 0915-0157	ICR Reference No: 200403-0915-001
Status: Historical Active	Previous ICR Reference No: 200210-0915-003
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Organ Procurement and Transplantation Network and Scientific Registry of Transplant Recipients Data System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/09/2004
	Date Received in OIRA: 03/17/2004
Terms of Clearance: Approved consistent with HRSA memos submitted to OMB 07/27/04 and 08/06/04. HRSA will continue to work with CMS to determine if further streamlining relating to information collected though this clearance may be achieved. In light of numerous form amendments, HRSA must review the corresponding instructions to ensure that they accurately reflect the revised forms, and HRSA must provide OMB with a statement to certify that current instructions are up to date. Additionally, HRSA must forward to OMB copies of all forms reflecting changes discussed in memos submitted to OMB including questions relating to Academic Activity level, Biological or Anti-Viral therapy, and Race and Ethnicity. HRSA will provide both forms and a certification of instructions statement to OMB as soon as possible but no later than 08/30/04.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2007	08/31/2007	08/31/2004
Responses	559,762	0	517,693
Time Burden (Hours)	84,057	0	80,362
Cost Burden (Dollars)	0	0	0

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Abstract: SRTR collects information on transplant recipients and transplant procedures for an ongoing evaluation of the scientific and clinical status of organ transplantation, OPTN must assistant in the distribution of organs equitably among transplant patients nationwide and adopt and use standards of quality for the acquisition and transportation of donated organs. The OPTN must maintain a national waiting list of individuals requiring organ transplants, maintain a computerized system for matching donor organs ith transplant candidates list, and operate a 24-hour....

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Organ Procurement and Transplantation Network and Scientific Registry of Transplant Recipients Data System

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ICR Summary of Burden

	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	559,762	517,693	0	0	42,069	0
Annual Time Burden (Hours)	84,057	80,362	0	0	3,695	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/17/2004

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