Information Collection

OPTN- Post Transplant Malignancy

IC 181751 under ICR 201202-0915-001 · OMB 0915-0157.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0157 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Post Transplant Malignancy Instructions.pdf	Instruction
27 Adult Post Transplant Malignancy Worksheet Adult Post Transplant Malignancy Worksheet.pdf	Form
27b Pediatric Post Transplant Malignancy Worksheet Pediatric Post Transplant Malignancy Worksheet.pdf	Form

IC Title:

OPTN- Post Transplant Malignancy

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Post Transplant Malignancy Instructions.pdf	Yes	No	Printable Only
Form	27	Adult Post Transplant Malignancy Worksheet	Adult Post Transplant Malignancy Worksheet.pdf	Yes	Yes	Fillable Fileable
Form	27b	Pediatric Post Transplant Malignancy Worksheet	Pediatric Post Transplant Malignancy Worksheet.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 689

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 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,579	739	6,840
Annual IC Time Burden (Hours)	1,516	148	1,368
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.