OPTN Membership Application for Histocompatibility Labs

Organ Procurement and Transplantation Network Application Form

OMB: 0915-0184

IC ID: 226694

Information Collection (IC) Details

View Information Collection (IC)

OPTN Membership Application for Histocompatibility Labs
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 12 OPTN Membership Application for Histocompatibility Laboratories OPTN Membership Application for Histoco.docx Yes Yes Fillable Fileable

Health Health Care Services

 

141 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 30 0 -24 0 0 54
Annual IC Time Burden (Hours) 75 0 -87 0 0 162
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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