E Personnel Change Cover Application

Organ Procurement and Transplantation Network Application Form

OMB: 0915-0184

IC ID: 226695

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

E Personnel Change Cover Application
 
No Unchanged
 
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 F F_HistoLab_PersonnelChange_Clean_HRSA.doc F_HistoLab_PersonnelChange_Clean_HRSA.doc Yes Yes Fillable Fileable

Health Health Care Services

 

395 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 790 0 0 0 0 790
Annual IC Time Burden (Hours) 3,160 0 0 0 0 3,160
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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