Information Collection

Deceased Donor Registration (DDR)

IC 6389 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
03222023 Deceased Donor Registration_DDR_Instructions_CLEAN.docx Instruction
03222023 Deceased Donor Registration_DDR_Instructions_CLEAN.docx Instruction
03222023 Deceased Donor Registration_REDLINE.docx Other-Redline
03222023 Deceased Donor Registration_REDLINE.docx Other-Redline
Deceased Donor Registration_Form_redline.xlsx Other-Redline
Deceased Donor Registration_Form_redline.xlsx Other-Redline
1 Deceased Donor Registration_Form_Clean.xlsx Deceased Donor Registration_Form_clean.xlsx Form
1 Deceased Donor Registration_Form_Clean.xlsx Deceased Donor Registration_Form_clean.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Deceased Donor Registration (DDR)	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			03222023 Deceased Donor Registration_DDR_Instructions_CLEAN.docx	Yes	Yes	Fillable Fileable
Form	1	Deceased Donor Registration_Form_Clean.xlsx	Deceased Donor Registration_Form_clean.xlsx	Yes	Yes	Fillable Fileable
Other-Redline			03222023 Deceased Donor Registration_REDLINE.docx	Yes	Yes	Fillable Fileable
Other-Redline			Deceased Donor Registration_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: 57	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: 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	13,883	3,152	10,731
Annual IC Time Burden (Hours)	16,660	4,856	11,804
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.