Information Collection

Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)

IC 226452 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 48 Kidney_Pancreas Transplant Recipient Follow Up Post 5 Year_Form.xlsx Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	Form
Kidney_Pancreas Transplant Recipient Follow Up Post 5 Year_Instructions.docx	Instruction
48 Kidney_Pancreas Transplant Recipient Follow Up Post 5 Ye Kidney_Pancreas Transplant Recipient Follow Up Post 5 Year_Form.xlsx	Form

IC Title:

Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Instruction					Yes	Yes	Fillable Fileable
Form	48				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 133

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,876	6,876
Annual IC Time Burden (Hours)	4,126	4,126
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.

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