Heart/Lung Transplant Recipient Follow Up 6 Month (TRF)

Data System for Organ Procurement and Transplantation Network

OMB: 0915-0157

IC ID: 214126

Information Collection (IC) Details

View Information Collection (IC)

Heart/Lung Transplant Recipient Follow Up 6 Month (TRF)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction HeartLung Transplant Recipient Follow Up 6 Month_Instructions.docx Yes Yes Fillable Fileable
Form 20 Heart/Lung Transplant Recipient Follow Up 6 Month_Form.xlsx HeartLung Transplant Recipient Follow Up 6 Month_Form.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

69 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 31 0 0 0 0 31
Annual IC Time Burden (Hours) 25 0 0 0 0 25
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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