Information Collection

Liver Explant Pathology

IC 201279 under ICR 201411-0915-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 1 Liver Explant Pathology	Form
Liver Explant Pathology Reporting Form Instructions.pdf	Instruction
1 Liver Recipient Explant Pathology Worksheet Liver Recipient Explant Pathology Worksheet.pdf	Form

IC Title:

Liver Explant Pathology

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Liver Recipient Explant Pathology Worksheet	Liver Recipient Explant Pathology Worksheet.pdf		Yes	Yes	Fillable Fileable
Instruction			Liver Explant Pathology Reporting Form Instructions.pdf		Yes	No	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 132

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,452	1,452
Annual IC Time Burden (Hours)	-494	494
Annual IC Cost Burden (Dollars)	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.