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6 B OPTN Membership Application_Surgeon or Physician Log
Organ Procurement and Transplantation Network Application Form
OPTN Membership Application Surgeon or Physician Log
OPTN Membership Application for Heart Transplant Program
OMB: 0915-0184
OMB.report
HHS/HSA
OMB 0915-0184
ICR 202211-0915-001
IC 226684
6 B OPTN Membership Application_Surgeon or Physician Log
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0915-0184 can be found here:
2024-10-08 - No material or nonsubstantive change to a currently approved collection
2023-10-13 - No material or nonsubstantive change to a currently approved collection
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