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Living Donor Follow-up (LDF)
Data System for Organ Procurement and Transplantation Network
OMB: 0915-0157
IC ID: 181728
OMB.report
HHS/HSA
OMB 0915-0157
ICR 202006-0915-008
IC 181728
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0157 can be found here:
2023-06-27 - Revision of a currently approved collection
2022-02-17 - Revision of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
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
18,669
0
983
0
0
17,686
Annual IC Time Burden (Hours)
24,270
0
1,278
0
0
22,992
Annual IC Cost Burden (Dollars)
0
0
0
0
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.