OPTN- Kidney/Pancreas Registration

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

OMB: 0915-0157

IC ID: 181743

Information Collection (IC) Details

View Information Collection (IC)

OPTN- Kidney/Pancreas Registration
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 19 Kidney/Pancreas Registration TRR Kidney-Pancreas Adult Wksheet.pdf Yes Yes Fillable Fileable
Form 19b Kidney/Pancreas Pediatric Registration TRR Kidney-Pancreas Pediatric Wksheet.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

143 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 1,001 0 0 -21 0 1,022
Annual IC Time Burden (Hours) 901 0 0 359 0 542
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Transplant Recipient Follow-up - Kidney-Pancreas Transplant Recipient Follow-up - Kidney-Pancreas.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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