OPTN- Intestine 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⚠️ Notice: This information collection may be referencing outdated material.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 24b OPTN- Intestine Candidate Registration Form
24b Intestine Candidate Pediatric Registration TCR Intestine Pediatric Wksheet.pdf Form
24 Intestine Candidate Registration TCR Intestine Adult Wksheet.pdf Form
Transplant Candidate Registration - Intestine.doc Transplant Candidate Registration - Intestine IC Document

Information Collection (IC) Details

IC Title:	OPTN- Intestine 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	24b	Intestine Candidate Pediatric Registration	TCR Intestine Pediatric Wksheet.pdf		Yes	Yes	Fillable Fileable
Form	24	Intestine Candidate Registration	TCR Intestine 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: 44	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	308	-52	360
Annual IC Time Burden (Hours)	154	68	86
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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