Information Collection

OPTN- Intestine Follow-up

IC 181750 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⚠️ Notice: This information collection may be referencing outdated material.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 26b OPTN- Intestine Follow-up	Form
26b Intestine Pediatric Follow-up TRF Intestine Pediatric Wksheet.pdf	Form
26 Intestine Follow-up TRF Intestine Adult Wksheet.pdf	Form
26c Post 5-Year Intestine Follow-up TRF Post 5-Year All Organs Adult Wksheet.pdf	Form
26d Post 5-Year Intestine Pediatric Follow-up TRF Post 5-Year All Organs Pediatric Wksheet.pdf	Form
TRF Intestine Help.pdf Intestine Follow-up Instructions	IC Document
TRF All Organs Doc.pdf Intestine Follow-up Changes	IC Document
TRF Post 5-Year All Organs Doc.pdf Post 5-Year Intestine Follow-up Changes	IC Document
TRF Post 5-Year Intestine Help.pdf Post 5-Year Intestine Follow-up Instructions	IC Document

IC Title:

OPTN- Intestine 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	26b	Intestine Pediatric Follow-up	TRF Intestine Pediatric Wksheet.pdf	Yes	Yes	Fillable Fileable
Form	26	Intestine Follow-up	TRF Intestine Adult Wksheet.pdf	Yes	Yes	Fillable Fileable
Form	26c	Post 5-Year Intestine Follow-up	TRF Post 5-Year All Organs Adult Wksheet.pdf	Yes	Yes	Fillable Fileable
Form	26d	Post 5-Year Intestine 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: 45

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	765	765
Annual IC Time Burden (Hours)	387	387
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

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