OPTN- Intestine Follow-up

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

OMB: 0915-0157

IC ID: 181750

Information Collection (IC) Details

View Information Collection (IC)

OPTN- Intestine Follow-up
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 26b Intestine Pediatric Follow-up TRF Intestine Pediatric Wksheet.pdf Yes Yes Fillable Fileable
Form 26 Intestine Follow-up TRF Intestine Adult Wksheet.pdf Yes Yes Fillable Fileable
Form 26c Post 5-Year Intestine Follow-up TRF Post 5-Year All Organs Adult Wksheet.pdf Yes Yes Fillable Fileable
Form 26d Post 5-Year Intestine Pediatric Follow-up TRF Post 5-Year All Organs Pediatric Wksheet.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

44 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 1,232 0 0 467 0 765
Annual IC Time Burden (Hours) 1,047 0 0 660 0 387
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Transplant Recipient Follow-up - Intestine Transplant Recipient Follow-up - Intestine.doc 09/14/2010
Transplant Recipient Follow-up - Intestine - Post 5-Year Transplant Recipient Follow-up - Intestine - Post 5-Year.doc 09/14/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy