Heart Recepient Registration

Data System for Organ Procurement and Transplantation Network

OMB: 0915-0157

IC ID: 226415

Information Collection (IC) Details

View Information Collection (IC)

Heart Recepient Registration
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Heart Transplant Recipient Registration_Instructions.docx Yes Yes Fillable Fileable
Form 7 Heart Transplant Recipient Registration_Form_clean.xlsx 05192023 Heart Transplant Recipient Registration_Form_clean.xlsx Yes Yes Fillable Fileable
Other-Redline 05192023 Heart Transplant Recipient Registration_Form_redline.xlsx Yes Yes Fillable Fileable

Health Health Care Services

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

145 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 3,816 0 410 0 0 3,406
Annual IC Time Burden (Hours) 7,479 0 3,392 0 0 4,087
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy