Information Collection

Organ Procurement and Transplantation Network (OPTN) Stakeholder Focus Groups

IC 260922 under ICR 202306-0915-006 · OMB 0915-0379.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.