B Intestine Designated Program Application

Organ Procurement and Transplantation Network Application Form

OMB: 0915-0184

IC ID: 226692

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

View Information Collection (IC)

B Intestine 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 B17 B17 Intestine_HRSA.doc L_Intestine_HRSA.doc Yes Yes Fillable Fileable

Health Health Care Services

 

40 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 80 0 80 0 0 0
Annual IC Time Burden (Hours) 240 0 240 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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