Information Collection

VCA Transplant Candidate Registration (TCR)

IC 214131 under ICR 201905-0915-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Vascular Composite Allograft (VCA) Transplant Candidate Registration Instructions.docx Instruction
50 Vascular Composite Allograft (VCA) Transplant Candidate Vascular Composite Allograft (VCA) Transplant Candidate Registration_Form.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	VCA Transplant Candidate Registration (TCR)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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			Vascular Composite Allograft (VCA) Transplant Candidate Registration Instructions.docx		Yes	Yes	Fillable Fileable
Form	50	Vascular Composite Allograft (VCA) Transplant Candidate Registration_Form.xlsx	Vascular Composite Allograft (VCA) Transplant Candidate Registration_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: 28	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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	49	49
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	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.