Information Collection

OPOs

IC 214002 under ICR 201411-0990-002 · OMB 0990-0427.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-Attachment 1_ListofParticipatingOrgs_07_03_14.docx	Other-survey
0990-Attachment_2_Organ and Tissue Variables from OPOs_8_07_14_V_1.0.docx	Other-form

IC Title:

OPOs

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Other-survey			0990-Attachment 1_ListofParticipatingOrgs_07_03_14.docx		No		Printable Only
Other-form			0990-Attachment_2_Organ and Tissue Variables from OPOs_8_07_14_V_1.0.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	24	24
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.