Heart/Lung Transplant Candidate Registration (TCR)

Data System for Organ Procurement and Transplantation Network

OMB: 0915-0157

IC ID: 181733

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Other-Redline
Other-Redline
Other-Redline
Other-Redline
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Heart/Lung Transplant Candidate Registration (TCR)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 03222023 HeartLung Transplant Candidate Registration_Instructions_CLEAN.docx Yes Yes Fillable Fileable
Form 18 Heart/Lung Transplant Candidate Registration_Form_clean.xlsx HeartLung Transplant Candidate Registration_Form_clean.xlsx Yes Yes Fillable Fileable
Other-Redline HeartLung Transplant Candidate Registration_Form_redline.xlsx Yes Yes Fillable Fileable
Other-Redline 03222023 HeartLung Transplant Candidate Registration_REDLINE.docx Yes Yes Fillable Fileable

Health Health Care Services

Privacy Act System of Records Notice #09-15-0055  87 FR 46967

70 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 67 0 0 0 0 67
Annual IC Time Burden (Hours) 74 0 0 0 0 74
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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