Heart Follow Up (6 months)

Data System for Organ Procurement and Transplantation Network

OMB: 0915-0157

IC ID: 226416

Information Collection (IC) Details

View Information Collection (IC)

Heart Follow Up (6 months)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Heart Transplant Recipient Follow Up 6 Month_Instructions.docx Yes Yes Fillable Fileable
Form 8 Heart Transplant Recipient Follow Up 6 Month_Form.xlsx Heart Transplant Recipient Follow Up 6 Month_Form.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

140 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 3,081 0 -1 0 0 3,082
Annual IC Time Burden (Hours) 1,232 0 -1 0 0 1,233
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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