Information Collection

Post-Transplant Periodic Information Collection based on Predetermined Schedule

IC 254631 under ICR 202402-0915-001 · OMB 0915-0310.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0310 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
5c - Post-Transplant Info Collection_to HRSA 2022-03-29.pdf	Other-Information to Private Sector
5c - Post-Transplant Info Collection_to HRSA 2022-03-29.pdf	Other-Information to Private Sector

IC Title:

Post-Transplant Periodic Information Collection based on Predetermined Schedule

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-Information to Private Sector			5c - Post-Transplant Info Collection_to HRSA 2022-03-29.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 177

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	56,481	56,481
Annual IC Time Burden (Hours)	56,481	56,481
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.