Information Collection

OPTN- Recipient Histocompatibility

IC 181730 under ICR 201010-0915-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 6 OPTN- Recipient Histocompatibility	Form
6 Recipient Histocompatibility Recipient Histocompatibility Wksheet.pdf	Form
Recipient Histocompatibility Help.pdf Recipient Histocompatibility Instructions	IC Document

IC Title:

OPTN- Recipient Histocompatibility

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	6	Recipient Histocompatibility	Recipient 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: 156

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	Previously Approved
Annual Number of Responses for this IC	30,576	4,088	26,488
Annual IC Time Burden (Hours)	6,115	3,201	2,914
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Recipient Histocompatibility Instructions	Recipient Histocompatibility Help.pdf	07/17/2007

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