Information Collection

Living Donor Follow-up (LDF)

IC 181728 under ICR 201704-0915-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Living_Donor_Follow_Up_LDF_Instructions.docx Instruction
3 Living Donor Follow Up Form.xlsx Living Donor Follow Up Form.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Living Donor Follow-up (LDF)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Instruction			Living_Donor_Follow_Up_LDF_Instructions.docx		Yes	Yes	Fillable Fileable
Form	3	Living Donor Follow Up Form.xlsx	Living Donor Follow Up Form.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 304	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	17,686	74	17,612
Annual IC Time Burden (Hours)	22,992	96	22,896
Annual IC Cost Burden (Dollars)	0	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.