Scientific Registry of Transplant Recipients Information Collection Effort for Potential Donors for Living Organ Donation

Scientific Registry of Transplant Recipients Information Collection Effort for Potential Donors for Living Organ Donation (SRTR)

OMB: 0906-0034

IC ID: 228713

Information Collection (IC) Details

View Information Collection (IC)

Scientific Registry of Transplant Recipients Information Collection Effort for Potential Donors for Living Organ Donation
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2 SRTR Candidate Reasons Did Not Donate_Liver and Kidney Form_10-11-17.docx SRTR Candidate Reasons Did Not Donate_Liver and Kidney Form_10-11-17.docx Yes Yes Fillable Fileable
Form 3 SRTR Form Potential Living Donor Follow-up Form_1 yr_10-11-17.docx SRTR Form Potential Living Donor Follow-up Form_1 yr_10-11-17.docx Yes Yes Fillable Fileable
Form 1 SRTR Initial Registration Worksheet_20171208_updates.docx SRTR Initial Registration Worksheet_20171208_updates.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

804 0
   
Individuals or Households
 
   90 %

  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 804 0 0 0 0 804
Annual IC Time Burden (Hours) 1,358 0 0 0 0 1,358
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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