OPTN- Liver Candidate Registration

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

OMB: 0915-0157

IC ID: 181739

Information Collection (IC) Details

View Information Collection (IC)

OPTN- Liver Candidate Registration
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 15b Liver Candidate Pediatric Registration TCR Liver Pediatric Wksheet.pdf Yes Yes Fillable Fileable
Form 15 Liver Candidate Registration TCR Liver Adult Wksheet.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

129 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 14,061 0 0 2,936 0 11,125
Annual IC Time Burden (Hours) 7,031 0 0 3,916 0 3,115
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Transplant Candidate Registration - Liver Transplant Candidate Registration - Liver.doc 09/14/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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