Death Notification Referral-Imminent

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

OMB: 0915-0157

IC ID: 194824

Information Collection (IC) Details

View Information Collection (IC)

Death Notification Referral-Imminent
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Death Notification Referral-Imminent Death Notification Referral-Imminent Death Notification Referral - Imminent.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

58 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 9,744 0 0 9,744 0 0
Annual IC Time Burden (Hours) 4,872 0 0 4,872 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Death Referral, Imminent, and Eligible Instructions Death Referral, Imminent, and Eligible Instructions.pdf 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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