B VCA Head and Neck Designated Program Application

Organ Procurement and Transplantation Network Application Form

OMB: 0915-0184

IC ID: 226688

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Information Collection (IC) Details

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B VCA Head and Neck Designated Program Application
 
No Removed
 
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 B10 B VCA_Head and Neck_Updated.doc M6_VCA_Head and Neck_Updated.doc Yes Yes Fillable Fileable

Health Health Care Services

 

14 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 0 0 -28 0 0 28
Annual IC Time Burden (Hours) 0 0 -84 0 0 84
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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