OPTN- Liver Follow-up

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

OMB: 0915-0157

IC ID: 181741

Information Collection (IC) Details

View Information Collection (IC)

OPTN- Liver Follow-up
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 17b Liver Pediatric Follow-up TRF Liver Pediatric Wksheet.pdf Yes Yes Fillable Fileable
Form 17 Liver Follow-up TRF Liver Adult Wksheet.pdf Yes Yes Fillable Fileable
Form 17d Post 5-Year Liver Pediatric Follow-up TRF Post 5-Year All Organs Pediatric Wksheet.pdf Yes Yes Fillable Fileable
Form 17c Post 5-Year Liver Follow-up TRF Post 5-Year All Organs 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 66,951 0 0 19,076 0 47,875
Annual IC Time Burden (Hours) 33,476 0 0 17,505 0 15,971
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Transplant Recipient Follow-up - Liver Transplant Recipient Follow-up - 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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