Vascular Composite Allograft

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⚠️ Notice: This information collection may be referencing outdated material.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 50 Vascular Composite Allograft Form and Instruction
50a VCA COD lookup.xlsx Instruction
50 Vascular Composit Allograft Candidate Registration 50 VCA TCR Instructions.docx Form and Instruction
51 Vascular Composit Allograft Recipient Registration 51 VCA TRR Instructions.docx Form and Instruction
52 Vascular Composit Allograft Recipient Follow Up 52 VCA TRF Instructions.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Vascular Composite Allograft	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	50	Vascular Composit Allograft Candidate Registration	50 VCA TCR Instructions.docx	Yes	Yes	Fillable Fileable
Instruction			50a VCA COD lookup.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	51	Vascular Composit Allograft Recipient Registration	51 VCA TRR Instructions.docx	Yes	Yes	Fillable Fileable
Form and Instruction	52	Vascular Composit Allograft Recipient Follow Up	52 VCA TRF Instructions.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	43	43
Annual IC Time Burden (Hours)	39	39
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.