Information Collection

OPTN- Kidney Registration

IC 181737 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 13 OPTN- Kidney Registration Form
13b KidneyPediatric Registration TRR Kidney Pediatric Wksheet.pdf Form
13 Kidney Registration TRR Kidney Adult Wksheet.pdf Form
Transplant Recipient Registration - Kidney.doc Transplant Recipient Registration - Kidney IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OPTN- Kidney Registration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	13	Kidney Registration	TRR Kidney Adult Wksheet.pdf		Yes	Yes	Fillable Fileable
Form	13b	KidneyPediatric Registration	TRR Kidney 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: 241	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 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20,003	2,753	17,250
Annual IC Time Burden (Hours)	15,002	7,412	7,590
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Transplant Recipient Registration - Kidney	Transplant Recipient Registration - Kidney.doc	09/14/2010

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