70 Transplant Center Contact Management

Transplant Center Contact Management
Fields to be completed by members
Form Section	Field Label	Notes
Transplant Center Contact Management	Center
Transplant Center Contact Management	Organ Program
Transplant Center Contact Management	Local Offers Primary
Transplant Center Contact Management	Local Offers Secondary
Transplant Center Contact Management	Import Offers Primary
Transplant Center Contact Management	Import Offers Secondary
Transplant Center Contact Management	Import Offers Set to same as local contacts
Transplant Center Contact Management	Expedited Offers Primary
Transplant Center Contact Management	Expedited Offers Secondary
Transplant Center Contact Management	Expedited Offers Set to same as local contacts
Transplant Center Contact Management	User Type
Transplant Center Contact Management	First Name	Display only - Cascades from database if User Type is Unet
Transplant Center Contact Management	Middle Initial
Transplant Center Contact Management	Last Name	Display only - Cascades from database if User Type is Unet
Transplant Center Contact Management	Institution	Display only - Cascades from database if User Type is Unet
Transplant Center Contact Management	Occupation	Display only - Cascades from database if User Type is Unet
Transplant Center Contact Management	Voice Description
Transplant Center Contact Management	Voice Device Type
Transplant Center Contact Management	Voice Number/E-mail Address
Transplant Center Contact Management	Voice Default
Transplant Center Contact Management	Text Description
Transplant Center Contact Management	Text Device Type
Transplant Center Contact Management	Text Number/E-mail Address
Transplant Center Contact Management	Text Default
Transplant Center Contact Management	Organ Program
Transplant Center Contact Management	Primary
Transplant Center Contact Management	Secondary
PUBLIC BURDEN STATEMENT:
The private, non-profit Organ Procurement and Transplantation Network (OPTN) collects this information in order to perform the following OPTN functions: to assess whether applicants meet OPTN Bylaw requirements for membership in the OPTN; and to monitor compliance of member organizations with OPTN Obligations. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this information collection is 0915-0157 and it is valid until XX/XX/202X. This information collection is required to obtain or retain a benefit per 42 CFR §121.11(b)(2). All data collected will be subject to Privacy Act protection (Privacy Act System of Records #09-15-0055). Data collected by the private non-profit OPTN also are well protected by a number of the Contractor’s security features. The Contractor’s security system meets or exceeds the requirements as prescribed by OMB Circular A-130, Appendix III, Security of Federal Automated Information Systems, and the Departments Automated Information Systems Security Program Handbook. The public reporting burden for this collection of information is estimated to average 0.27 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857 or [email protected].