OPTN- Kidney/Pancreas Candidate Registration

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

⚠️ Notice: This information collection may be referencing outdated material.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 18b OPTN- Kidney/Pancreas Candidate Registration Form
18b Kidney/Pancreas Pediatric Candidate Registration TCR Kidney-Pancreas Pediatric Wksheet.pdf Form
18 Kidney /Pancreas Candidate Registration TCR Kidney-Pancreas Adult Wksheet.pdf Form
Transplant Candidate Registration - Kidney-Pancreas.doc Transplant Candidate Registration - Kidney-Pancreas IC Document

Information Collection (IC) Details

IC Title:	OPTN- Kidney/Pancreas Candidate 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	18b	Kidney/Pancreas Pediatric Candidate Registration	TCR Kidney-Pancreas Pediatric Wksheet.pdf		Yes	Yes	Fillable Fileable
Form	18	Kidney /Pancreas Candidate Registration	TCR Kidney-Pancreas 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: 143	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	2,002	250	1,752
Annual IC Time Burden (Hours)	1,001	510	491
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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