OPTN- Pancreas Candidate Registration

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⚠️ Notice: This information collection may be referencing outdated material.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 21b OPTN- Pancreas Candidate Registration Form
21b Pancreas Candidate Pediatric Registration TCR Pancreas Pediatric Wksheet.pdf Form
21 Pancreas Candidate Registration TCR Pancreas Adult Wksheet.pdf Form
TCR All Organs Doc.pdf Pancreas Candidate Registration Changes IC Document
TCR Pancreas Pancreas Islets Help.pdf Pancreas Candidate Registration Instructions IC Document

Information Collection (IC) Details

IC Title:	OPTN- Pancreas Candidate Registration	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	21b	Pancreas Candidate Pediatric Registration	TCR Pancreas Pediatric Wksheet.pdf		Yes	Yes	Fillable Fileable
Form	21	Pancreas Candidate Registration	TCR Pancreas Adult 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 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,022	1,022
Annual IC Time Burden (Hours)	286	286
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Pancreas Candidate Registration Changes	TCR All Organs Doc.pdf	07/19/2007
Pancreas Candidate Registration Instructions	TCR Pancreas Pancreas Islets Help.pdf	07/19/2007

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