Organ Procurement and Transplantation Network Application Form
No material or nonsubstantive change to a currently approved collection
No
Regular
Approved without change
02/28/2018
02/28/2018
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
07/31/2020
07/31/2020
07/31/2020
1,868
0
1,868
7,020
0
7,020
0
0
0
A question regarding designated intestine transplant programs was inadvertently omitted from the OPTN membership application forms approved by the Office of Management and Budget during July 2017. Specifically, the omitted question is used to collect information to demonstrate compliance with the intestine transplant program âprimary transplant physicianâ training and experience requirements in the OPTN bylaws.
US Code:
42 USC 1138
Name of Law: Hospital Protocols for Organ Procurement and Standards for Organ Procurement Agencies
US Code:
42 USC 274
Name of Law: Organ Procurement and Transplantation Network
US Code:
42 USC 273
Name of Law: National Organ Transplant Act
The estimated burden for the revised collection increased from 6,006 to 7,016. This increase is due to the additions and revisions to selected forms and the addition of new forms around VCA transplants.
However, each individual form will be shorter and easier to complete, leading to a decrease in burden in some instruments.
ROCIS doesn't allow for 0 respondents or burden, so the respondents had to be increased to 1 in order to be entered. This caused the total respondents to increase by 1 and the total burden by 4 hours. Form C "OPO New Applications" has 0 for respondents as there are no new respondents, thus no form to respond to.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form K K_Individual_Clean_HRSA.doc
20180216 OPTN Membership Forms Change Memo CLEAN.docx
K Individual Member Application