Information Collection

OPTN- Heart/Lung Candidate Registration

IC 181733 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⚠️ Notice: This information collection may be referencing outdated material.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 9b OPTN- Heart/Lung Candidate Registration	Form
9b Heart/Lung Pediatric Registration TCR Heart-Lung Pediatric Wksheet.pdf	Form
9 Heart./Lung Candidate Registration TCR Heart-Lung Adult Wksheet.pdf	Form
Transplant Candidate Registration - Heart-Lung.doc Transplant Candidate Registration - Heart-Lung	IC Document

IC Title:

OPTN- Heart/Lung Candidate Registration

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	9b	Heart/Lung Pediatric Registration	TCR Heart-Lung Pediatric Wksheet.pdf		Yes	Yes	Fillable Fileable
Form	9	Heart./Lung Candidate Registration	TCR Heart-Lung 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: 51

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	102	43	59
Annual IC Time Burden (Hours)	51	34	17
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Transplant Candidate Registration - Heart-Lung	Transplant Candidate Registration - Heart-Lung.doc	09/14/2010

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