Information Collection

Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF)

IC 181738 under ICR 202306-0915-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Transplant Recipient Follow Up 6 Month to 5 Year_Instructions.docx	Instruction
Kidney Transplant Recipient Follow Up 6 Month to 5 Year_Instructions.docx	Instruction
Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_redline.xlsx	Other-Redline
Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_redline.xlsx	Other-Redline
37 Kidney Transplant Recipient Follow Up 6 Month_5 Year_For Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form
37 Kidney Transplant Recipient Follow Up 6 Month_5 Year_For Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form

IC Title:

Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Kidney Transplant Recipient Follow Up 6 Month to 5 Year_Instructions.docx	Yes	Yes	Fillable Fileable
Form	37	Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Yes	Yes	Fillable Fileable
Other-Redline			Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_redline.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Privacy Act System of Records Notice #09-15-0055

FR Citation: 87 FR 46967

Number of Respondents: 234

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	Previously Approved
Annual Number of Responses for this IC	121,006	18,655	102,351
Annual IC Time Burden (Hours)	108,905	16,789	92,116
Annual IC Cost Burden (Dollars)	0	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.