Information Collection

Living Donor Follow-up (LDF)

IC 181728 under ICR 202006-0915-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 3 Living Donor Follow-up (LDF)	Form
Living Donor Follow Up_LDF_Instructions.docx	Instruction
3 Living Donor Follow Up_Form.xlsx Living Donor Follow Up_Form.xlsx	Form

IC Title:

Living Donor Follow-up (LDF)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3	Living Donor Follow Up_Form.xlsx	Living Donor Follow Up_Form.xlsx		Yes	Yes	Fillable Fileable
Instruction			Living Donor Follow Up_LDF_Instructions.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	18,669	983	17,686
Annual IC Time Burden (Hours)	24,270	1,278	22,992
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.