OPTN- Heart Candidate Registration

Organ Procurement and Transplantation Network and Scientific Registry of Transplant Recipients Data System

OMB: 0915-0157

IC ID: 181731

Information Collection (IC) Details

View Information Collection (IC)

OPTN- Heart Candidate Registration
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 7 Heart Candidate Registration TCR Heart Adult Wksheet.pdf Yes Yes Fillable Fileable
Form 7b Heart Candidate Pediatric Registration TCR Heart Pediatric Wksheet.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

127 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,445 0 0 1,340 0 3,105
Annual IC Time Burden (Hours) 2,223 0 0 1,354 0 869
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Heart Candidate Registration Instructions TCR Heart Help.pdf 07/17/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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