Liver Explant Pathology

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.