Organ Procurement and Transplantation Network (OPTN) Stakeholder Focus Groups

Questionnaire and Data Collection Testing, Evaluation, and Research for the Health Resources and Services Administration (HRSA)

Documents and Forms

Document Name Document Type
05082023 - Sample Interview Model - 050120235005.docx Instruction
05082023 - Sample Interview Model - 050120235005.docx Instruction
05082023 - OPTN Mod P1A Fast Track Memo - 050120235005 - CLEAN.docx Fast Track Memo IC Document
05082023 - OPTN Mod P1A Fast Track Memo - 050120235005 - CLEAN.docx Fast Track Memo IC Document

Information Collection (IC) Details

IC Title:	Organ Procurement and Transplantation Network (OPTN) Stakeholder Focus Groups	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			05082023 - Sample Interview Model - 050120235005.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Memo	05082023 - OPTN Mod P1A Fast Track Memo - 050120235005 - CLEAN.docx	06/29/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.