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Federal forms, ICRs, and supporting documents

Information Collection

Scientific Registry of Transplant Recipients Information Collection Effort for Potential Donors for Living Organ Donation

IC 228713 under ICR 202402-0906-003 · OMB 0906-0034.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Scientific Registry of Transplant Recipients Information Collection Effort for Potential Donors for Living Organ Donation
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Living Donor Registration Form 02152024 - Living Donor Registration Form - SRTR LDC - 021220245007.docx Yes Yes Fillable Fileable
Form and Instruction 2 Potential Living Donor Follow-Up Form 02152024 - Potential Living Donor Follow-Up Form - SRTR LDC - 021220245007.docx Yes Yes Fillable Fileable
Form and Instruction 3 Reasons Did Not Donate Form 02152024 - Reasons Did Not Donate Form - SRTR LDC - 021220245007.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Organ Procurement and Transplantation Network (OPTN)/SRTR Data System, 09–15–0055.  87 FR 46967

786 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 4,242 0 0 0 0 4,242
Annual IC Time Burden (Hours) 1,251 0 0 0 0 1,251
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Privacy Act Statement SRTR Privacy Act Statement Draft_Updated 03122024.docx 03/12/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.