Lung - Post Transplant Malignancy (PTM) Form

Data System for Organ Procurement and Transplantation Network

OMB: 0915-0157

IC ID: 226430

Information Collection (IC) Details

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Lung - Post Transplant Malignancy (PTM) Form
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Lung Post Transplant Malignancy_Instructions.docx Yes Yes Fillable Fileable
Form 17 Lung Post Transplant Malignancy_Form .xlsx Lung Post Transplant Malignancy_Form .xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

71 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 1,400 0 294 0 0 1,106
Annual IC Time Burden (Hours) 560 0 118 0 0 442
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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