Death Referral Data

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

OMB: 0915-0157

IC ID: 194822

Information Collection (IC) Details

View Information Collection (IC)

Death Referral Data
 
No Removed
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Death Referral Data Death Referral Data Worksheet.pdf Yes Yes Fillable Fileable
Instruction Death Referral Data Instructions.pdf Yes No Printable Only

Health Health Care Services

 

58 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 0 0 -696 0 0 696
Annual IC Time Burden (Hours) 0 0 -6,960 0 0 6,960
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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