B VCA Abdominal Wall Designated Program Application

Organ Procurement and Transplantation Network Application Form

OMB: 0915-0184

IC ID: 226690

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

B VCA Abdominal Wall Designated Program Application
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction B12 B12 VCA_AW_Kidney_Updated.doc M3_VCA_AW_Kidney_Updated.doc Yes Yes Fillable Fileable
Form and Instruction B13 B13 VCA_AW_Liver_Updated.doc M4_VCA_AW_Liver_Updated.doc Yes Yes Fillable Fileable
Form and Instruction B14 B14 _VCA_AW_Pancreas_Updated.doc M5_VCA_AW_Pancreas_Updated.doc Yes Yes Fillable Fileable
Form and Instruction B15 B15 VCA_AW_Intestine_Updated.doc M2_VCA_AW_Intestine_Updated.doc Yes Yes Fillable Fileable

Health Health Care Services

 

13 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 26 0 26 0 0 0
Annual IC Time Burden (Hours) 78 0 78 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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