Information Collection

Kidney Paired Donation Match Offer Management

IC 251644 under ICR 202202-0915-002 · OMB 0915-0157.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0157 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Kidney Paired Donation Match Offer Management_Instructions.docx	Instruction
Kidney Paired Donation Match Offer Management_Instructions.docx	Instruction
57 Kidney Paired Donation Match Offer Management_Form.xlsx Kidney Paired Donation Match Offer Management_Form.xlsx	Form
57 Kidney Paired Donation Match Offer Management_Form.xlsx Kidney Paired Donation Match Offer Management_Form.xlsx	Form

IC Title:

Kidney Paired Donation Match Offer Management

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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
Instruction			Kidney Paired Donation Match Offer Management_Instructions.docx		Yes	Yes	Fillable Fileable
Form	57	Kidney Paired Donation Match Offer Management_Form.xlsx	Kidney Paired Donation Match Offer Management_Form.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	242	242
Annual IC Time Burden (Hours)	162	162
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.