National Survey of Organ Donation Attitudes and Practices

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0290 can be found here:

Documents and Forms

Document Name Document Type
Form 1 National Survey of Organ Donation Attitudes and Practices Form and Instruction
1 Revised Survey Survey with OMB changes (face+hands, new ethnicity categories) 02-28-12.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Survey of Organ Donation Attitudes and Practices	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Revised Survey	Survey with OMB changes (face+hands, new ethnicity categories) 02-28-12.doc		No		Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,250	3,250
Annual IC Time Burden (Hours)	975	975
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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