Information Collection

OPTN- Donor Histocompatibility

IC 181729 under ICR 200708-0915-004 · OMB 0915-0157.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5 OPTN- Donor Histocompatibility	Form
5 Donor Histocompatibility Donor Histocompatibility Wksheet.pdf	Form
Donor Histocompatility Help.pdf Donor Histocompatibility Instructions	IC Document
Donor Histocompatibility Doc.pdf Donor Histocompatibility Changes	IC Document

IC Title:

OPTN- Donor Histocompatibility

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5	Donor Histocompatibility	Donor Histocompatibility 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: 154

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 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	14,630	14,630
Annual IC Time Burden (Hours)	878	878
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Donor Histocompatibility Instructions	Donor Histocompatility Help.pdf	07/17/2007
Donor Histocompatibility Changes	Donor Histocompatibility Doc.pdf	07/17/2007

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