Information Collection

OPTN- Thoracic Registration

IC 181734 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⚠️ Notice: This information collection may be referencing outdated material.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 10b OPTN- Thoracic Registration	Form
10b Thoracic Pediatric Registration TRR Thoracic Pediatric Wksheet.pdf	Form
10 Thoracic Registration TRR Thoracic Adult Wksheet.pdf	Form
Transplant Recipient Registration - Thoracic.doc Transplant Recipient Registration - Thoracic	IC Document

IC Title:

OPTN- Thoracic 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	10b	Thoracic Pediatric Registration	TRR Thoracic Pediatric Wksheet.pdf		Yes	Yes	Fillable Fileable
Form	10	Thoracic Registration	TRR Thoracic 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: 127

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	4,572	927	3,645
Annual IC Time Burden (Hours)	3,429	1,825	1,604
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Transplant Recipient Registration - Thoracic	Transplant Recipient Registration - Thoracic.doc	09/14/2010

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