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 and Instruction 1 Living Donor Registration Form 11.20.2020 Living Donor Registration Form - SRTR 0906-0034.docx Yes Yes Fillable Fileable
Form and Instruction 2 Potential Living Donor Follow-Up Form 11.20.2020 Potential Living Donor Follow-Up Form - SRTR 0906-0034.docx Yes Yes Fillable Fileable
Form and Instruction 3 Reasons Did Not Donate Form 11.20.2020 Reasons Did Not Donate Form - SRTR 0906-0034.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

786 0
   
Individuals or Households
 
   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 4,242 0 3,438 0 0 804
Annual IC Time Burden (Hours) 1,251 0 -107 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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