VCA Transplant Recipient Follow Up (TRF)

Data System for Organ Procurement and Transplantation Network

Documents and Forms

Document Name Document Type
VCA TRF Instructions.docx Instruction
VCA TRF Instructions.docx Instruction
VCA Transplant Recipient Follow Up_Form_redline.xlsx Other-redline
VCA Transplant Recipient Follow Up_Form_redline.xlsx Other-redline
52 VCA Transplant Recipient Follow Up_Form_clean.xlsx VCA Transplant Recipient Follow Up_Form_clean.xlsx Form
52 VCA Transplant Recipient Follow Up_Form_clean.xlsx VCA Transplant Recipient Follow Up_Form_clean.xlsx Form

Information Collection (IC) Details

IC Title:	VCA Transplant Recipient Follow Up (TRF)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			VCA TRF Instructions.docx	Yes	Yes	Fillable Fileable
Form	52	VCA Transplant Recipient Follow Up_Form_clean.xlsx	VCA Transplant Recipient Follow Up_Form_clean.xlsx	Yes	Yes	Fillable Fileable
Other-redline			VCA Transplant Recipient Follow Up_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: 21	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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	21	3	18
Annual IC Time Burden (Hours)	28	10	18
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.