OPTN- Donor Histocompatibility

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⚠️ Notice: This information collection may be referencing outdated material.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 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

Information Collection (IC) Details

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:

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 %

	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

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.