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OPTN- Living Donor Registration
Organ Procurement and Transplantation Network and Scientific Registry of Transplant Recipients Data System
OMB: 0915-0157
IC ID: 181727
OMB.report
HHS/HSA
OMB 0915-0157
ICR 200708-0915-004
IC 181727
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0157 can be found here:
2023-06-27 - Revision of a currently approved collection
2022-02-17 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 3
OPTN- Living Donor Registration
Form
3 Living Donor Registration
Living Donor Reg Wksheet.pdf
Form
Living Donor Reg Help.pdf
Living Donor Registration Instructions
IC Document
Living Donor Reg Doc.pdf
Living Donor Changes
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OPTN- Living Donor Registration
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
3
Living Donor Registration
Living Donor Reg Wksheet.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
711
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7,110
0
0
7,110
0
0
Annual IC Time Burden (Hours)
2,915
0
0
2,915
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Living Donor Registration Instructions
Living Donor Reg Help.pdf
07/17/2007
Living Donor Changes
Living Donor Reg Doc.pdf
07/20/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.