Information Collection

National Survey of Organ Donation Attitudes and Practices

IC 6543 under ICR 202405-0915-002 · OMB 0915-0290.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 National Survey of Organ Donation Attitudes and Practices	Form and Instruction
Form 1 08052024 - NSODAP 2024 English Survey National Survey of Organ Donation Attitudes and Practices	Form and Instruction
Form 2 08052024 - NSODAP 2024 Spanish Survey National Survey of Organ Donation Attitudes and Practices	Form and Instruction
1 04222024 - NSODAP 2024 English Survey 04222024 - NSODAP 2024 English Survey - 032020245002 - FINAL.docx	Form and Instruction
1 08052024 - NSODAP 2024 English Survey 08052024 NSODAP Revised English Survey 2024_CLEAN.docx	Form and Instruction
2 04222024 - NSODAP 2024 Spanish Survey 04222024 - NSODAP 2024 Spanish Survey - 032020245002 - FINAL.docx	Form and Instruction
2 08052024 - NSODAP 2024 Spanish Survey 08052024 NSODAP Revised Spanish Survey 2024_CLEAN.docx	Form and Instruction
08052024 NSODAP Revised English Survey 2024_REDLINE.docx 08052024 NSODAP Revised English Survey 2024_REDLINE	IC Document
08052024 NSODAP Revised Spanish Survey 2024_REDLINE.docx 08052024 NSODAP Revised Spanish Survey 2024_REDLINE	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	1				Yes	Yes	Fillable Fileable
Form and Instruction	2				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	2,900	2,900
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
08052024 NSODAP Revised English Survey 2024_REDLINE		08/06/2024
08052024 NSODAP Revised Spanish Survey 2024_REDLINE		08/06/2024

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].