Information Collection

OPTN- Kidney/Pancreas Follow-up

IC 181744 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⚠️ Notice: This information collection may be referencing outdated material.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 20b OPTN- Kidney/Pancreas Follow-up	Form
20b Kidney/Pancreas Pediatric Follow-up TRF Kidney-Pancreas Pediatric Wksheet.pdf	Form
20 Kidney/Pancreas Follow-up TRF Kidney-Pancreas Adult Wksheet.pdf	Form
20c Post 5-Year Kidney/Pancreas Follow-up TRF Post 5-Year All Organs Adult Wksheet.pdf	Form
20d Post 5-Year Kidney/Pancreas Pediatric Follow-up TRF Post 5-Year All Organs Pediatric Wksheet.pdf	Form
TRF Kidney-Pancreas Help.pdf Kidney/Pancreas Follow-up Instructions	IC Document
TRF All Organs Doc.pdf Kidney/Pancreas Follow-up Changes	IC Document
TRF Post 5-Year All Organs Doc.pdf Post 5-Year Kidney/Pancreas Follow-up Changes	IC Document
TRF Post 5-Year Kidney-Pancreas Help.pdf Post 5-Year Kidney/Pancreas Instructions	IC Document

IC Title:

OPTN- Kidney/Pancreas Follow-up

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	20b	Kidney/Pancreas Pediatric Follow-up	TRF Kidney-Pancreas Pediatric Wksheet.pdf	Yes	Yes	Fillable Fileable
Form	20	Kidney/Pancreas Follow-up	TRF Kidney-Pancreas Adult Wksheet.pdf	Yes	Yes	Fillable Fileable
Form	20c	Post 5-Year Kidney/Pancreas Follow-up	TRF Post 5-Year All Organs Adult Wksheet.pdf	Yes	Yes	Fillable Fileable
Form	20d	Post 5-Year Kidney/Pancreas Pediatric Follow-up	TRF Post 5-Year All Organs 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	9,490	9,490
Annual IC Time Burden (Hours)	4,771	4,771
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Kidney/Pancreas Follow-up Instructions	TRF Kidney-Pancreas Help.pdf	07/19/2007
Kidney/Pancreas Follow-up Changes	TRF All Organs Doc.pdf	07/19/2007
Post 5-Year Kidney/Pancreas Follow-up Changes	TRF Post 5-Year All Organs Doc.pdf	07/23/2007
Post 5-Year Kidney/Pancreas Instructions	TRF Post 5-Year Kidney-Pancreas Help.pdf	07/23/2007

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