Information Collection

National Survey of Organ Donation Attitudes and Practices

IC 6543 under ICR 202106-0915-001 · OMB 0915-0290.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0290 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 National Survey of Organ Donation Attitudes and Practices	Form and Instruction
Form 1 NSODAP CATI Script English R10 0290.pdf National Survey of Organ Donation Attitudes and Practices	Form and Instruction
Form 2 NSODAP CATI Script Spanish R10 0290.pdf National Survey of Organ Donation Attitudes and Practices	Form and Instruction
1 NSODAP CATI Script English R10 0290.pdf FORM - NSODAP CATI Script English R10 0290.pdf	Form and Instruction
1 NSODAP CATI Script English R10 0290.pdf FORM - NSODAP CATI Script English R10 0290.pdf	Form and Instruction
2 NSODAP CATI Script Spanish R10 0290.pdf FORM - NSODAP CATI Script Spanish R10 0290.pdf	Form and Instruction
2 NSODAP CATI Script Spanish R10 0290.pdf FORM - NSODAP CATI Script Spanish R10 0290.pdf	Form and Instruction

IC Title:

National Survey of Organ Donation Attitudes and Practices

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 and Instruction	1				Yes	Yes	Fillable Fileable
Form and Instruction	2				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	2,900	2,900
Annual IC Cost Burden (Dollars)	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.

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