Information Collection

OPTN- Kidney/Pancreas Registration

IC 181743 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⚠️ Notice: This information collection may be referencing outdated material.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 19 OPTN- Kidney/Pancreas Registration	Form
19 Kidney/Pancreas Registration TRR Kidney-Pancreas Adult Wksheet.pdf	Form
19b Kidney/Pancreas Pediatric Registration TRR Kidney-Pancreas Pediatric Wksheet.pdf	Form
TRR Kidney-Pancreas Help.pdf Kidney/Pancreas Registation Instructions	IC Document
TRR All Organs Doc.pdf Kidney/Pancreas Registration Changes	IC Document

IC Title:

OPTN- Kidney/Pancreas Registration

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	19	Kidney/Pancreas Registration	TRR Kidney-Pancreas Adult Wksheet.pdf		Yes	Yes	Fillable Fileable
Form	19b	Kidney/Pancreas Pediatric Registration	TRR Kidney-Pancreas Pediatric 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: 146

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	1,022	1,022
Annual IC Time Burden (Hours)	542	542
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Kidney/Pancreas Registation Instructions	TRR Kidney-Pancreas Help.pdf	07/19/2007
Kidney/Pancreas Registration Changes	TRR All Organs Doc.pdf	07/19/2007

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