OPTN- Living Donor Follow-up

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0157 can be found here:

Documents and Forms

Document Name Document Type
Form 4 OPTN- Living Donor Follow-up Form
4 Living Donor Follow-up Living Donor Fol Wksheet.pdf Form
Living Donor Fol Doc.pdf Living Donor Follow-up Changes IC Document
Living Donor Fol Help.pdf Living Donor Follow-up Instructions IC Document

Information Collection (IC) Details

IC Title:	OPTN- Living Donor Follow-up	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	4	Living Donor Follow-up	Living Donor Fol Wksheet.pdf		Yes	Yes	Fillable Fileable

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	12,798	12,798
Annual IC Time Burden (Hours)	4,223	4,223
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Living Donor Follow-up Changes	Living Donor Fol Doc.pdf	07/17/2007
Living Donor Follow-up Instructions	Living Donor Fol Help.pdf	07/17/2007

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