Data System for Organ Procurement and Transplantation Network

Forms and Documents

Document	Type	Status	Availability
Form 1 Deceased Donor Registration (DDR)	Form	Modified	Available
Form 1 Deceased Donor Registration (DDR)	Form	Modified	Repair queued
Form 153 Interim Event Reporting Form	Form	New	Available
Form 153 Interim Event Reporting Form	Form	New	Repair queued
Form 152 Non-US Transplants Reporting Form	Form	New	Available
Form 151 Non-US Transplants Reporting Form	Form	New	Available
Form 151 Non-US Transplants Reporting Form	Form	New	Repair queued
Form 150 Extra Vessels Reporting Form	Form	New	Available
Form 149 Living Donor Feedback Form	Form	New	Available
Form 149 Living Donor Feedback Form	Form	New	Repair queued
Form 148 Review Board Voter Form	Form	New	Available
Form 147 Pediatric Lung Priority 1 Status Justification Form	Form	New	Available
Form 147 Pediatric Lung Priority 1 Status Justification Form	Form	New	Repair queued
Form 146 Adult and Pediatric Lung and HeartLung Goal Exception Form	Form	New	Available
Form 145 Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Form	New	Available
Form 145 Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Form	New	Repair queued
Form 144 Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data	Form	New	Repair queued
Form 143 Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Form	New	Available
Form 143 Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Form	New	Missing upstream
Form 142 Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data	Form	New	Available
Form 141 Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Form	New	Available
Form 141 Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Form	New	Repair queued
Form 140 Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data	Form	New	Repair queued
Form 139 Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Form	New	Available
Form 139 Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Form	New	Repair queued
Form 138 Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data	Form	New	Available
Form 137 Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Form	New	Available
Form 137 Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Form	New	Repair queued
Form 136 Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data	Form	New	Available
Form 135 Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Form	New	Available
Form 135 Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Form	New	Repair queued
Form 134 Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data	Form	New	Available
Form 133 Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Form	New	Available
Form 133 Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Form	New	Repair queued
Form 132 Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data	Form	New	Repair queued
Form 131 Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Form	New	Available
Form 131 Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Form	New	Repair queued
Form 130 Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data	Form	New	Available
Form 129 Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Form	New	Available
Form 129 Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Form	New	Repair queued
Form 128 Pediatric Heart and HeartLung Status 1B Initial Justification Form	Form	New	Available
Form 127 Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Form	New	Available
Form 127 Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Form	New	Repair queued
Form 126 Pediatric Heart and HeartLung Status 1A Initial Justification Form	Form	New	Available
Form 125 Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Form	New	Available
Form 125 Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Form	New	Repair queued
Form 124 Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form	Form	New	Available
Form 123 Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Form	New	Available
Form 123 Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Form	New	Repair queued
Form 122 Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	Form	New	Available
Form 121 Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Form	New	Available
Form 121 Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Form	New	Repair queued
Form 120 Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	Form	New	Available
Form 119 Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Form	New	Available
Form 119 Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Form	New	Available
Form 118 Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	Form	New	Available
Form 117 Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Form	New	Available
Form 117 Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Form	New	Repair queued
Form 116 Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form	Form	New	Available
Form 115 Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Form	New	Available
Form 115 Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Form	New	Repair queued
Form 114 Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	Form	New	Available
Form 113 Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Form	New	Available
Form 113 Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Form	New	Repair queued
Form 112 Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	Form	New	Repair queued
Form 111 Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Form	New	Available
Form 111 Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Form	New	Repair queued
Form 110 Pediatric Liver Status 1B Initial Justification and Extension Form	Form	New	Available
Form 109 Pediatric Liver Status 1A Initial Justification and Extension Form	Form	New	Available
Form 109 Pediatric Liver Status 1A Initial Justification and Extension Form	Form	New	Repair queued
Form 108 Adult Liver Status 1A Initial Justification and Extension Form	Form	New	Available
Form 107 Kidney Minimum Acceptance Criteria	Form	New	Repair queued
Form 107 Kidney Minimum Acceptance Criteria	Form	New	Repair queued
Form 106 Prior Living Donor Priority	Form	New	Available
Form 105 Intestinal Waiting Time Reinstatement Form	Form	New	Available
Form 105 Intestinal Waiting Time Reinstatement Form	Form	New	Repair queued
Form 104 OPTN Pancreas Waiting Time Reinstatement Form	Form	New	Available
Form 103 Renal Waiting Time Reinstatement Form	Form	New	Available
Form 103 OPTN Renal Waiting Time Reinstatement Form	Form	New	Repair queued
Form 102 OPTN Waiting Time Modification Form	Form	New	Repair queued
Form 101 OPTN Waiting Time Transfer Form	Form	New	Available
Form 101 OPTN Waiting Time Transfer Form	Form	New	Repair queued
Form 100 Organ Export Verification Form	Form	New	Available
Form 100 Organ Export Verification Form	Form	New	Repair queued
Form 99 VCA Vascularized Gland Candidate Listing Registration	Form	New	Available
Form 98 VCA Uterus Candidate Listing Registration	Form	New	Available
Form 98 VCA Uterus Candidate Listing Registration	Form	New	Repair queued
Form 97 VCA Upper Limb Candidate Listing Registration	Form	New	Available
Form 96 VCA Spleen Candidate Listing Registration	Form	New	Available
Form 96 VCA Spleen Candidate Listing Registration	Form	New	Repair queued
Form 95 VCA Other Genitourinary Organ Candidate Listing Registration	Form	New	Available
Form 94 VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Form	New	Available
Form 94 VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Form	New	Repair queued
Form 93 VCA Lower Limb Candidate Listing Registration	Form	New	Available
Form 92 VCA Head and Neck Candidate Listing Registration	Form	New	Repair queued
Form 92 VCA Head and Neck Candidate Listing Registration	Form	New	Repair queued
Form 91 VCA Head and Neck Candidate Listing Registration	Form	New	Available
Form 91 VCA External Male Genitalia Candidate Listing Registration	Form	New	Repair queued
Form 90 VCA Abdominal Wall Candidate Listing Registration	Form	New	Available
Form 89 Candidate Registration Listing Removal	Form	New	Repair queued
Form 89 Candidate Registration Listing Removal	Form	New	Repair queued
Form 88 Pediatric Lung Candidate Listing Registration	Form	New	Available
Form 87 Adult Lung Candidate Listing Registration	Form	New	Repair queued
Form 87 Adult Lung Candidate Listing Registration	Form	New	Repair queued
Form 86 Pediatric HeartLung Candidate Listing Registration	Form	New	Available
Form 85 Adult HeartLung Candidate Listing Registration	Form	New	Available
Form 85 Adult HeartLung Candidate Listing Registration	Form	New	Repair queued
Form 84 Pediatric Heart Candidate Listing Registration	Form	New	Repair queued
Form 83 Adult Heart Candidate Listing Registration	Form	New	Available
Form 82 Pediatric Intestine Candidate Listing Registration	Form	New	Available
Form 82 Pediatric Intestine Candidate Listing Registration	Form	New	Repair queued
Form 81 Adult Intestine Candidate Listing Registration	Form	New	Available
Form 80 Pediatric Liver Candidate Listing Registration	Form	New	Available
Form 80 Pediatric Liver Candidate Listing Registration	Form	New	Repair queued
Form 79 Adult Liver Candidate Listing Registration	Form	New	Available
Form 78 Pediatric Pancreas Islet Listing Registration	Form	New	Available
Form 78 Pediatric Pancreas Islet Listing Registration	Form	New	Repair queued
Form 77 Adult Pancreas Islet Listing Registration	Form	New	Available
Form 76 Pediatric Pancreas Candidate Listing Registration	Form	New	Available
Form 76 Pediatric Pancreas Candidate Listing Registration	Form	New	Repair queued
Form 75 Adult Pancreas Candidate Listing Registration	Form	New	Available
Form 74 Pediatric Kidney Pancreas Candidate Listing Registration	Form	New	Available
Form 74 Pediatric Kidney Pancreas Candidate Listing Registration	Form	New	Repair queued
Form 73 Adult Kidney Pancreas Candidate Listing Registration	Form	New	Available
Form 72 Pediatric Kidney Candidate Listing Registration Form	Form	New	Available
Form 72 Pediatric Kidney Candidate Listing Registration	Form	New	Repair queued
Form 71 Adult Kidney Candidate Listing Registration	Form	New	Available
Form 71 Adult Kidney Candidate Listing Registration	Form	New	Available
Form 70 Transplant Center Contact Management	Form	Modified	Available
Form 69 Donor Organ Disposition	Form	Modified	Available
Form 68 Donor Hospital Registration	Form	Modified	Available
Form 67 Deceased Donor Death Referral	Form	Modified	Available
Form 66 Death Notification Registration	Form	Modified	Available
Form 65 Potential Transplant Recipient	Form	Modified	Available
Form 64 OPO Notification Limit Administration	Form	Modified	Available
Form 63 Initial Donor Registration	Form	Modified	Available
Form 62 Request to Unlock Form_Form.xlsx	Form	Modified	Available
Form 61 Potential Disease Transmission Report_Form.xlsx	Form	Modified	Available
Form 60 Safety Situation_Form.xlsx	Form	Modified	Available
Form 59 Living Donor Event_Form.xlsx	Form	Modified	Available
Form 58 Disease Transmission Event_Form.xlsx	Form	Modified	Available
Form 57 Kidney Paired Donation Match Offer Management_Form.xlsx	Form	Modified	Available
Form 56 Kidney Paired Donation Donor Registration_Form_clean.xlsx	Form	Modified	Available
Form 55 Kidney Paired Donation Candidate Registration_Form_clean.xlsx	Form	Modified	Available
Form 54 Organ Tracking and Validating_Form.xlsx	Form	Modified	Available
Form 53 Organ Labeling and Packaging_Form.xlsx	Form	Modified	Available
Form 52 VCA Transplant Recipient Follow Up_Form_clean.xlsx	Form	Modified	Available
Form 51 VCA Transplant Recipient Registration_Form_clean.xlsx	Form	Modified	Available
Form 49 Kidney/Pancreas Post Transplant Malignancy_Form.xlsx	Form	Modified	Available
Form 48 Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx	Form	Modified	Repair queued
Form 47 Kidney/Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form	Modified	Available
Form 46 Kidney/Pancreas Transplant Recipient Registration_Form_clean.xlsx	Form	Modified	Repair queued
Form 44 Pancreas Post Transplant Malignancy_Form.xlsx	Form	Modified	Available
Form 43 Pancreas Transplant Recipient Follow Up Post 5 Year_ Form_clean.xlsx	Form	Modified	Available
Form 42 Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form	Modified	Available
Form 41 Pancreas Transplant Recipient Registration_Form_clean.xlsx	Form	Modified	Available
Form 39 Kidney Post Transplant Malignancy_Form.xlsx	Form	Modified	Available
Form 38 Kidney Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx	Form	Modified	Available
Form 34 Intestine Post Transplant Malignancy_Form.xlsx	Form	Modified	Available
Form 33 Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx	Form	Modified	Repair queued
Form 29 Liver Post Transplant Malignancy_Form.xlsx	Form	Modified	Available
Form 27 Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx	Form	Modified	Available
Form 23 HeartLung Post Transplant Malignancy_Form.xlsx	Form	Modified	Available
Form 17 Lung Post Transplant Malignancy_Form.xlsx	Form	Modified	Available
Form 16 Lung Transplant Recipient Follow Up Post 5 Year_Form	Form	Modified	Available
Form 15 Lung Transplant Recipient Follow Up 1_5 Year_Form	Form	Modified	Repair queued
Form 14 Lung Transplant Recipient Follow Up 6 Month_Form.xlsx	Form	Modified	Available
Form 13 Lung Transplant Recipient Registration_Form_clean.xlsx	Form	Modified	Available
Form 11 Heart Post Transplant Malignancy_Form.xlsx	Form	Modified	Available
Form 10 Heart Transplant Recipient Follow Up Post 5 Year_Form_Clean.xlsx	Form	Modified	Available
Form 9 Heart Transplant Recipient Follow Up 1_5 Year _Form_Clean.xlsx	Form	Modified	Available
Form 8 Heart Transplant Recipient Follow Up 6 Month_Form.xlsx	Form	Modified	Available
Form 7 Heart Transplant Recipient Registration_Form_clean.xlsx	Form	Modified	Available
Form 50 VCA Transplant Candidate Registration_Form.xlsx	Form	Modified	Available
Form 28 Liver Explant Pathology Form.xlsx	Form	Modified	Available
Form 22 Heart/Lung Transplant Recipient Follow Up Post 5 Year_Form.xlsx	Form	Modified	Available
Form 21 Heart/Lung Transplant Recipient Follow Up 1_5 Year_Form.xlsx	Form	Modified	Available
Form 20 Heart/Lung Transplant Recipient Follow Up 6 Month_Form.xlsx	Form	Modified	Available
Form 19 Heart/Lung Transplant Recipient Registration_Form_clean.xlsx	Form	Modified	Available
Form 32 Intestine Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form	Modified	Repair queued
Form 31 Intestine Transplant Recipient Registration_Form_clean.xlsx	Form	Modified	Repair queued
Form 30 Intestine Transplant Candidate Registration_Form_clean.xlsx	Form	Modified	Available
Form 40 Pancreas Transplant Candidate Registration_Form_clean.xlsx	Form	Modified	Available
Form 45 Kidney/Pancreas Transplant Candidate Registration_Form_clean.xlsx	Form	Modified	Available
Form 26 Liver Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form	Modified	Available
Form 25 Liver Transplant Recipient Registration_Form_clean.xlsx	Form	Modified	Available
Form 24 Liver Transplant Candidate Registration_Form.xlsx	Form	Modified	Available
Form 37 Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form	Modified	Available
Form 36 Kidney Transplant Recipient Registration_Form_clean.xlsx	Form	Modified	Available
Form 35 Kidney Transplant Candidate Registration_Form_clean.xlsx	Form	Modified	Available
Form 18 Heart/Lung Transplant Candidate Registration_Form_clean.xlsx	Form	Modified	Available
Form 12 Lung Transplant Candidate Registration_Form	Form	Modified	Available
Form 6 Heart Transplant Candidate Registration_Form_clean.xlsx	Form	Modified	Available
Form 5 Recipient Histocompatibility_Form._Clean.xlsx	Form	Modified	Available
Form 4 Donor Histocompatibility_Form.xlsx	Form	Modified	Repair queued
Form 3 Living Donor Follow-Up Form	Form	Modified	Available
Form 3 Living Donor Follow-up (LDF)	Form	Modified	Repair queued
Form 2 Living Donor Registration Form	Form	Modified	Available
Comment 6_Besser Transmittal 1.2.25.pdf	Public Comments	Uploaded 2025-01-02	Repair queued
Comment 6_Besser 1.2.25.pdf	Public Comments	Uploaded 2025-01-02	Repair queued
Comment 5_Cardenas 11.14.24.pdf	Public Comments	Uploaded 2024-11-14	Repair queued
Comment 4_Lawson Transmittal 12.30.24.pdf	Public Comments	Uploaded 2024-12-30	Repair queued
Comment 4_Lawson 12.30.24.pdf	Public Comments	Uploaded 2024-12-30	Repair queued
Comment 3_Olsen 11.21.24.pdf	Public Comments	Uploaded 2024-11-21	Repair queued
Comment 2_Braly_Transmittal 12.31.24.pdf	Public Comments	Uploaded 2024-12-31	Repair queued
Comment 2_Braly 12.31.24.pdf	Public Comments	Uploaded 2024-12-31	Repair queued
Comment 1_Lester_Transmittal 12.20.24.pdf	Public Comments	Uploaded 2024-12-20	Repair queued
Comment 1_Lester 12.20.24.pdf	Public Comments	Uploaded 2024-12-20	Repair queued
Privacy Act Statement - OPTN 0915-0157 Revision 06.25.2025.docx	Supplementary Document	Uploaded 2025-06-25	Repair queued
Privacy Act Statement - OPTN 0915-0157 Revision 06.25.2025.docx	Supplementary Document	Uploaded 2025-06-25	Repair queued
Burden Statement - OPTN 0915-0157 Revision CLEAN 06.25.2025.docx	Supplementary Document	Uploaded 2025-06-25	Repair queued
Burden Statement - OPTN 0915-0157 Revision CLEAN 06.25.2025.docx	Supplementary Document	Uploaded 2025-06-25	Repair queued
Supporting Statement A - OPTN Data System 0915-0157 Revision _08.20.25 - CLEAN.docx	Supporting Statement A	Uploaded 2025-08-21	Repair queued
Supporting Statement A - OPTN Data System 0915-0157 Revision 06.25.2025.docx	Supporting Statement A	Uploaded 2025-07-01	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
6389	Deceased Donor Registration (DDR)	Form	Modified	Deceased Donor Registration (DDR)
6389	Deceased Donor Registration (DDR)	Form	Modified
6389	Deceased Donor Registration (DDR)	Other-Redline	Modified
276081	Interim Event Reporting Form	Form	New	Interim Event Reporting Form
276081	Interim Event Reporting Form	Form	New
276081	Interim Event Reporting Form	Instruction	New
276080	Discrepant HLA Typings Reporting Form	Form	New	Non-US Transplants Reporting Form
276080	Discrepant HLA Typings Reporting Form	Instruction	New
276079	Non-US Transplants Reporting Form	Form	New	Non-US Transplants Reporting Form
276079	Non-US Transplants Reporting Form	Form	New
276079	Non-US Transplants Reporting Form	Instruction	New
276078	Extra Vessels Reporting Form	Form	New	Extra Vessels Reporting Form
276078	Extra Vessels Reporting Form	Instruction	New
276077	Living Donor Feedback Form	Form	New	Living Donor Feedback Form
276077	Living Donor Feedback Form	Form	New
276077	Living Donor Feedback Form	Instruction	New
276076	Review Board Voter Form	Form	New	Review Board Voter Form
276076	Review Board Voter Form	Instruction	New
276075	Pediatric Lung Priority 1 Status Justification Form	Form	New	Pediatric Lung Priority 1 Status Justification Form
276075	Pediatric Lung Priority 1 Status Justification Form	Form	New
276075	Pediatric Lung Priority 1 Status Justification Form	Instruction	New
276073	Adult and Pediatric Lung and HeartLung Goal Exception Form	Form	New	Adult and Pediatric Lung and HeartLung Goal Exception Form
276073	Adult and Pediatric Lung and HeartLung Goal Exception Form	Instruction	New
276072	Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data
276072	Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Form	New
276072	Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Instruction	New
276070	Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data
276070	Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data	Instruction	New
276069	Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data
276069	Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Form	New
276069	Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Instruction	New
276068	Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data
276068	Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data	Instruction	New
276066	Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data
276066	Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Form	New
276066	Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Instruction	New
276064	Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data
276064	Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data	Instruction	New
276063	Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data
276063	Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Form	New
276063	Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Instruction	New
276062	Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data
276062	Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data	Instruction	New
276061	Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data
276061	Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Form	New
276061	Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Instruction	New
276060	Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data
276060	Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data	Instruction	New
276059	Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data
276059	Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Form	New
276059	Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Instruction	New
276058	Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data
276058	Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data	Instruction	New
276057	Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data
276057	Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Form	New
276057	Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Instruction	New
276056	Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data
276056	Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data	Instruction	New
276055	Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Form	New	Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data
276055	Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Form	New
276055	Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Instruction	New
276054	Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data	Form	New	Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data
276054	Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data	Instruction	New
276050	Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Form	New	Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data
276050	Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Form	New
276050	Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Instruction	New
276049	Pediatric Heart and HeartLung Status 1B Initial Justification Form	Form	New	Pediatric Heart and HeartLung Status 1B Initial Justification Form
276049	Pediatric Heart and HeartLung Status 1B Initial Justification Form	Instruction	New
276048	Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Form	New	Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms
276048	Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Form	New
276048	Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Instruction	New
276047	Pediatric Heart and HeartLung Status 1A Initial Justification Form	Form	New	Pediatric Heart and HeartLung Status 1A Initial Justification Form
276047	Pediatric Heart and HeartLung Status 1A Initial Justification Form	Instruction	New
276046	Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Form	New	Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form
276046	Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Form	New
276046	Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Instruction	New
276045	Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form	Form	New	Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form
276045	Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form	Instruction	New
276044	Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Form	New	Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form
276044	Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Form	New
276044	Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Instruction	New
276043	Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	Form	New	Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form
276043	Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	Instruction	New
276042	Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Form	New	Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form
276042	Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Form	New
276042	Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Instruction	New
276041	Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	Form	New	Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form
276041	Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	Instruction	New
276040	Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Form	New	Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form
276040	Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Form	New
276040	Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Instruction	New
276039	Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	Form	New	Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form
276039	Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	Instruction	New
276038	Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Form	New	Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form
276038	Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Form	New
276038	Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Instruction	New
276037	Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form	Form	New	Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form
276037	Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form	Instruction	New
276036	Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Form	New	Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form
276036	Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Form	New
276036	Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Instruction	New
276035	Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	Form	New	Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form
276035	Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	Instruction	New
276034	Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Form	New	Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form
276034	Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Form	New
276034	Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Instruction	New
276033	Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	Form	New	Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form
276033	Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	Instruction	New
276032	Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Form	New	Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form
276032	Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Form	New
276032	Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Instruction	New
276028	Pediatric Liver Status 1B Initial Justification and Extension Form	Form	New	Pediatric Liver Status 1B Initial Justification and Extension Form
276028	Pediatric Liver Status 1B Initial Justification and Extension Form	Instruction	New
276027	Pediatric Liver Status 1A Initial Justification and Extension Form	Form	New	Pediatric Liver Status 1A Initial Justification and Extension Form
276027	Pediatric Liver Status 1A Initial Justification and Extension Form	Form	New
276027	Pediatric Liver Status 1A Initial Justification and Extension Form	Instruction	New
276026	Adult Liver Status 1A Initial Justification and Extension Form	Form	New	Adult Liver Status 1A Initial Justification and Extension Form
276026	Adult Liver Status 1A Initial Justification and Extension Form	Instruction	New
276024	Kidney Minimum Acceptance Criteria	Form	New	Kidney Minimum Acceptance Criteria
276024	Kidney Minimum Acceptance Criteria	Form	New
276024	Kidney Minimum Acceptance Criteria	Instruction	New
276023	Prior Living Donor Priority	Form	New	Prior Living Donor Priority
276023	Prior Living Donor Priority	Instruction	New
276022	Intestinal Waiting Time Reinstatement Form	Form	New	Intestinal Waiting Time Reinstatement Form
276022	Intestinal Waiting Time Reinstatement Form	Form	New
276022	Intestinal Waiting Time Reinstatement Form	Instruction	New
276020	OPTN Pancreas Waiting Time Reinstatement Form	Form	New	OPTN Pancreas Waiting Time Reinstatement Form
276020	OPTN Pancreas Waiting Time Reinstatement Form	Instruction	New
276019	OPTN Renal Waiting Time Reinstatement Form	Form	New	Renal Waiting Time Reinstatement Form
276019	OPTN Renal Waiting Time Reinstatement Form	Form	New
276019	OPTN Renal Waiting Time Reinstatement Form	Instruction	New
276018	OPTN Waiting Time Modification Form	Form	New	OPTN Waiting Time Modification Form
276018	OPTN Waiting Time Modification Form	Instruction	New
276017	OPTN Waiting Time Transfer Form	Form	New	OPTN Waiting Time Transfer Form
276017	OPTN Waiting Time Transfer Form	Form	New
276017	OPTN Waiting Time Transfer Form	Instruction	New
276006	Organ Export Verification Form	Form	New	Organ Export Verification Form
276006	Organ Export Verification Form	Form	New
276006	Organ Export Verification Form	Instruction	New
276005	VCA Vascularized Gland Candidate Listing Registration	Form	New	VCA Vascularized Gland Candidate Listing Registration
276005	VCA Vascularized Gland Candidate Listing Registration	Instruction	New
276004	VCA Uterus Candidate Listing Registration	Form	New	VCA Uterus Candidate Listing Registration
276004	VCA Uterus Candidate Listing Registration	Form	New
276004	VCA Uterus Candidate Listing Registration	Instruction	New
276003	VCA Upper Limb Candidate Listing Registration	Form	New	VCA Upper Limb Candidate Listing Registration
276003	VCA Upper Limb Candidate Listing Registration	Instruction	New
276002	VCA Spleen Candidate Listing Registration	Form	New	VCA Spleen Candidate Listing Registration
276002	VCA Spleen Candidate Listing Registration	Form	New
276002	VCA Spleen Candidate Listing Registration	Instruction	New
275999	VCA Other Genitourinary Organ Candidate Listing Registration	Form	New	VCA Other Genitourinary Organ Candidate Listing Registration
275999	VCA Other Genitourinary Organ Candidate Listing Registration	Instruction	New
275998	VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Form	New	VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration
275998	VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Form	New
275998	VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Instruction	New
275997	VCA Lower Limb Candidate Listing Registration	Form	New	VCA Lower Limb Candidate Listing Registration
275997	VCA Lower Limb Candidate Listing Registration	Instruction	New
275996	VCA Head and Neck Candidate Listing Registration	Form	New	VCA Head and Neck Candidate Listing Registration
275996	VCA Head and Neck Candidate Listing Registration	Form	New
275996	VCA Head and Neck Candidate Listing Registration	Instruction	New
275995	VCA External Male Genitalia Candidate Listing Registration	Form	New	VCA Head and Neck Candidate Listing Registration
275995	VCA External Male Genitalia Candidate Listing Registration	Form	New
275995	VCA External Male Genitalia Candidate Listing Registration	Instruction	New
275994	VCA Abdominal Wall Candidate Listing Registration	Form	New	VCA Abdominal Wall Candidate Listing Registration
275994	VCA Abdominal Wall Candidate Listing Registration	Instruction	New
275993	Candidate Registration Listing Removal	Form	New	Candidate Registration Listing Removal
275993	Candidate Registration Listing Removal	Form	New
275993	Candidate Registration Listing Removal	Instruction	New
275992	Pediatric Lung Candidate Listing Registration	Form	New	Pediatric Lung Candidate Listing Registration
275992	Pediatric Lung Candidate Listing Registration	Instruction	New
275991	Adult Lung Candidate Listing Registration	Form	New	Adult Lung Candidate Listing Registration
275991	Adult Lung Candidate Listing Registration	Form	New
275991	Adult Lung Candidate Listing Registration	Instruction	New
275990	Pediatric HeartLung Candidate Listing Registration	Form	New	Pediatric HeartLung Candidate Listing Registration
275990	Pediatric HeartLung Candidate Listing Registration	Instruction	New
275988	Adult HeartLung Candidate Listing Registration	Form	New	Adult HeartLung Candidate Listing Registration
275988	Adult HeartLung Candidate Listing Registration	Form	New
275988	Adult HeartLung Candidate Listing Registration	Instruction	New
275987	Pediatric Heart Candidate Listing Registration	Form	New	Pediatric Heart Candidate Listing Registration
275987	Pediatric Heart Candidate Listing Registration	Instruction	New
275968	Adult Heart Candidate Listing Registration	Form	New	Adult Heart Candidate Listing Registration
275968	Adult Heart Candidate Listing Registration	Instruction	New
275967	Pediatric Intestine Candidate Listing Registration	Form	New	Pediatric Intestine Candidate Listing Registration
275967	Pediatric Intestine Candidate Listing Registration	Form	New
275967	Pediatric Intestine Candidate Listing Registration	Instruction	New
275966	Adult Intestine Candidate Listing Registration	Form	New	Adult Intestine Candidate Listing Registration
275966	Adult Intestine Candidate Listing Registration	Instruction	New
275965	Pediatric Liver Candidate Listing Registration	Form	New	Pediatric Liver Candidate Listing Registration
275965	Pediatric Liver Candidate Listing Registration	Form	New
275965	Pediatric Liver Candidate Listing Registration	Instruction	New
275964	Adult Liver Candidate Listing Registration	Form	New	Adult Liver Candidate Listing Registration
275964	Adult Liver Candidate Listing Registration	Instruction	New
275963	Pediatric Pancreas Islet Listing Registration	Form	New	Pediatric Pancreas Islet Listing Registration
275963	Pediatric Pancreas Islet Listing Registration	Form	New
275963	Pediatric Pancreas Islet Listing Registration	Instruction	New
275962	Adult Pancreas Islet Listing Registration	Form	New	Adult Pancreas Islet Listing Registration
275962	Adult Pancreas Islet Listing Registration	Instruction	New
275961	Pediatric Pancreas Candidate Listing Registration	Form	New	Pediatric Pancreas Candidate Listing Registration
275961	Pediatric Pancreas Candidate Listing Registration	Form	New
275961	Pediatric Pancreas Candidate Listing Registration	Instruction	New
275960	Adult Pancreas Candidate Listing Registration	Form	New	Adult Pancreas Candidate Listing Registration
275960	Adult Pancreas Candidate Listing Registration	Instruction	New
275959	Pediatric Kidney Pancreas Candidate Listing Registration	Form	New	Pediatric Kidney Pancreas Candidate Listing Registration
275959	Pediatric Kidney Pancreas Candidate Listing Registration	Form	New
275959	Pediatric Kidney Pancreas Candidate Listing Registration	Instruction	New
275957	Adult Kidney Pancreas Candidate Listing Registration	Form	New	Adult Kidney Pancreas Candidate Listing Registration
275957	Adult Kidney Pancreas Candidate Listing Registration	Instruction	New
275956	Pediatric Kidney Candidate Listing Registration	Form	New	Pediatric Kidney Candidate Listing Registration Form
275956	Pediatric Kidney Candidate Listing Registration	Form	New
275956	Pediatric Kidney Candidate Listing Registration	Instruction	New
275955	Adult Kidney Candidate Listing Registration	Form	New	Adult Kidney Candidate Listing Registration
275955	Adult Kidney Candidate Listing Registration	Form	New
275955	Adult Kidney Candidate Listing Registration	Instruction	New
260702	Transplant Center Contact Management	Form	Modified	Transplant Center Contact Management
260702	Transplant Center Contact Management	Instruction	Modified
260701	Donor Organ Disposition	Form	Modified	Donor Organ Disposition
260701	Donor Organ Disposition	Instruction	Modified
260700	Donor Hospital Registration	Form	Modified	Donor Hospital Registration
260700	Donor Hospital Registration	Instruction	Modified
260699	Deceased Donor Death Referral	Form	Modified	Deceased Donor Death Referral
260699	Deceased Donor Death Referral	Instruction	Modified
260698	Death Notification Registration	Form	Modified	Death Notification Registration
260698	Death Notification Registration	Instruction	Modified
260697	Potential Transplant Recipient	Form	Modified	Potential Transplant Recipient
260697	Potential Transplant Recipient	Instruction	Modified
260696	OPO Notification Limit Administration	Form	Modified	OPO Notification Limit Administration
260696	OPO Notification Limit Administration	Instruction	Modified
260695	Initial Donor Registration	Form	Modified	Initial Donor Registration
260695	Initial Donor Registration	Instruction	Modified
251650	Request to Unlock Form	Form	Modified	Request to Unlock Form_Form.xlsx
251650	Request to Unlock Form	Instruction	Modified
251649	Potential Disease Transmission Report	Form	Modified	Potential Disease Transmission Report_Form.xlsx
251649	Potential Disease Transmission Report	Instruction	Modified
251648	Safety Situation	Form	Modified	Safety Situation_Form.xlsx
251648	Safety Situation	Instruction	Modified
251647	Living Donor Event	Form	Modified	Living Donor Event_Form.xlsx
251647	Living Donor Event	Instruction	Modified
251645	Disease Transmission Event	Form	Modified	Disease Transmission Event_Form.xlsx
251645	Disease Transmission Event	Instruction	Modified
251644	Kidney Paired Donation Match Offer Management	Form	Modified	Kidney Paired Donation Match Offer Management_Form.xlsx
251644	Kidney Paired Donation Match Offer Management	Instruction	Modified
251643	Kidney Paired Donation Donor Registration	Form	Modified	Kidney Paired Donation Donor Registration_Form_clean.xlsx
251643	Kidney Paired Donation Donor Registration	Instruction	Modified
251642	Kidney Paired Donation Candidate Registration	Form	Modified	Kidney Paired Donation Candidate Registration_Form_clean.xlsx
251642	Kidney Paired Donation Candidate Registration	Instruction	Modified
251641	Organ Tracking and Validating System	Form	Modified	Organ Tracking and Validating_Form.xlsx
251641	Organ Tracking and Validating System	Instruction	Modified
251640	Organ Labeling and Packaging System	Form	Modified	Organ Labeling and Packaging_Form.xlsx
251640	Organ Labeling and Packaging System	Instruction	Modified
226455	VCA Transplant Recipient Follow Up (TRF)	Form	Modified	VCA Transplant Recipient Follow Up_Form_clean.xlsx
226455	VCA Transplant Recipient Follow Up (TRF)	Instruction	Modified
226454	VCA Transplant Recipient Registration (TRR)	Form	Modified	VCA Transplant Recipient Registration_Form_clean.xlsx
226454	VCA Transplant Recipient Registration (TRR)	Instruction	Modified
226453	Kidney/Pancreas Post Transplant Malignancy (PTM) Form	Form	Modified	Kidney/Pancreas Post Transplant Malignancy_Form.xlsx
226453	Kidney/Pancreas Post Transplant Malignancy (PTM) Form	Instruction	Modified
226452	Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	Form	Modified	Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
226452	Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction	Modified
226451	Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Form	Modified	Kidney/Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
226451	Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Instruction	Modified
226449	Kidney/Pancreas Transplant Recipient Registration (TRR)	Form	Modified	Kidney/Pancreas Transplant Recipient Registration_Form_clean.xlsx
226449	Kidney/Pancreas Transplant Recipient Registration (TRR)	Instruction	Modified
226448	Pancreas Post Transplant Malignancy (PTM) Form	Form	Modified	Pancreas Post Transplant Malignancy_Form.xlsx
226448	Pancreas Post Transplant Malignancy (PTM) Form	Instruction	Modified
226447	Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	Form	Modified	Pancreas Transplant Recipient Follow Up Post 5 Year_ Form_clean.xlsx
226447	Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction	Modified
226446	Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Form	Modified	Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
226446	Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Instruction	Modified
226445	Pancreas Transplant Recipient Registration (TRR)	Form	Modified	Pancreas Transplant Recipient Registration_Form_clean.xlsx
226445	Pancreas Transplant Recipient Registration (TRR)	Instruction	Modified
226443	Kidney Post Transplant Malignancy (PTM) Form	Form	Modified	Kidney Post Transplant Malignancy_Form.xlsx
226443	Kidney Post Transplant Malignancy (PTM) Form	Instruction	Modified
226442	Kidney Transplant Recipient Follow Up Post 5 Year (TRF)	Form	Modified	Kidney Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
226442	Kidney Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction	Modified
226441	Intestine Post Transplant Malignancy (PTM) Form	Form	Modified	Intestine Post Transplant Malignancy_Form.xlsx
226441	Intestine Post Transplant Malignancy (PTM) Form	Instruction	Modified
226440	Intestine Transplant Recipient Follow Up Post 5 Year (TRF)	Form	Modified	Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
226440	Intestine Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction	Modified
226439	Liver Post Transplant Malignancy (PTM) Form	Form	Modified	Liver Post Transplant Malignancy_Form.xlsx
226439	Liver Post Transplant Malignancy (PTM) Form	Instruction	Modified
226438	Liver Transplant Recipient Follow Up Post 5 Year (TRF)	Form	Modified	Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
226438	Liver Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction	Modified
226431	Heart/Lung Post Transplant Malignancy (PTM) Form	Form	Modified	HeartLung Post Transplant Malignancy_Form.xlsx
226431	Heart/Lung Post Transplant Malignancy (PTM) Form	Instruction	Modified
226430	Lung - Post Transplant Malignancy (PTM) Form	Form	Modified	Lung Post Transplant Malignancy_Form.xlsx
226430	Lung - Post Transplant Malignancy (PTM) Form	Instruction	Modified
226428	Lung Transplant Recipient Follow Up Post 5 Year (TRF)	Form	Modified	Lung Transplant Recipient Follow Up Post 5 Year_Form
226428	Lung Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction	Modified
226426	Lung Transplant Recipient Follow Up 1-5 Year (TRF)	Form	Modified	Lung Transplant Recipient Follow Up 1_5 Year_Form
226426	Lung Transplant Recipient Follow Up 1-5 Year (TRF)	Instruction	Modified
226425	Lung Transplant Recipient Follow Up 6 Month (TRF)	Form	Modified	Lung Transplant Recipient Follow Up 6 Month_Form.xlsx
226425	Lung Transplant Recipient Follow Up 6 Month (TRF)	Instruction	Modified
226424	Lung Transplant Recipient Registration (TRR)	Form	Modified	Lung Transplant Recipient Registration_Form_clean.xlsx
226424	Lung Transplant Recipient Registration (TRR)	Instruction	Modified
226422	Heart Post-Transplant Malignancy Form	Form	Modified	Heart Post Transplant Malignancy_Form.xlsx
226422	Heart Post-Transplant Malignancy Form	Instruction	Modified
226418	Heart Transplant Recipient Follow Up Post 5 Year	Form	Modified	Heart Transplant Recipient Follow Up Post 5 Year_Form_Clean.xlsx
226418	Heart Transplant Recipient Follow Up Post 5 Year	Instruction	Modified
226417	Heart Transplant Recipient Follow Up 1-5 Year	Form	Modified	Heart Transplant Recipient Follow Up 1_5 Year _Form_Clean.xlsx
226417	Heart Transplant Recipient Follow Up 1-5 Year	Instruction	Modified
226416	Heart Transplant Recipient Follow Up (6 months)	Form	Modified	Heart Transplant Recipient Follow Up 6 Month_Form.xlsx
226416	Heart Transplant Recipient Follow Up (6 months)	Instruction	Modified
226415	Heart Transplant Recipient Registration (TRR)	Form	Modified	Heart Transplant Recipient Registration_Form_clean.xlsx
226415	Heart Transplant Recipient Registration (TRR)	Instruction	Modified
214131	VCA Transplant Candidate Registration (TCR)	Form	Modified	VCA Transplant Candidate Registration_Form.xlsx
214131	VCA Transplant Candidate Registration (TCR)	Instruction	Modified
214130	Liver Recipient Explant Pathology Form	Form	Modified	Liver Explant Pathology Form.xlsx
214130	Liver Recipient Explant Pathology Form	Instruction	Modified
214128	Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF)	Form	Modified	Heart/Lung Transplant Recipient Follow Up Post 5 Year_Form.xlsx
214128	Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction	Modified
214127	Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF)	Form	Modified	Heart/Lung Transplant Recipient Follow Up 1_5 Year_Form.xlsx
214127	Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF)	Instruction	Modified
214126	Heart/Lung Transplant Recipient Follow Up 6 Month (TRF)	Form	Modified	Heart/Lung Transplant Recipient Follow Up 6 Month_Form.xlsx
214126	Heart/Lung Transplant Recipient Follow Up 6 Month (TRF)	Instruction	Modified
214124	Heart/Lung Recipient Registration	Form	Modified	Heart/Lung Transplant Recipient Registration_Form_clean.xlsx
214124	Heart/Lung Recipient Registration	Instruction	Modified
181750	Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Form	Modified	Intestine Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
181750	Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Instruction	Modified
181749	Intestine Transplant Recipient Registration (TRR)	Form	Modified	Intestine Transplant Recipient Registration_Form_clean.xlsx
181749	Intestine Transplant Recipient Registration (TRR)	Instruction	Modified
181748	Intestine Transplant Candidate Registration (TCR)	Form	Modified	Intestine Transplant Candidate Registration_Form_clean.xlsx
181748	Intestine Transplant Candidate Registration (TCR)	Instruction	Modified
181745	Pancreas Transplant Candidate Registration (TCR)	Form	Modified	Pancreas Transplant Candidate Registration_Form_clean.xlsx
181745	Pancreas Transplant Candidate Registration (TCR)	Instruction	Modified
181742	Kidney/Pancreas Transplant Candidate Registration (TCR)	Form	Modified	Kidney/Pancreas Transplant Candidate Registration_Form_clean.xlsx
181742	Kidney/Pancreas Transplant Candidate Registration (TCR)	Instruction	Modified
181741	Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Form	Modified	Liver Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
181741	Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Instruction	Modified
181740	Liver Transplant Recipient Registration (TRR)	Form	Modified	Liver Transplant Recipient Registration_Form_clean.xlsx
181740	Liver Transplant Recipient Registration (TRR)	Instruction	Modified
181739	Liver Transplant Candidate Registration (TCR)	Form	Modified	Liver Transplant Candidate Registration_Form.xlsx
181739	Liver Transplant Candidate Registration (TCR)	Instruction	Modified
181738	Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Form	Modified	Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
181738	Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Instruction	Modified
181737	Kidney Transplant Recipient Registration (TRR)	Form	Modified	Kidney Transplant Recipient Registration_Form_clean.xlsx
181737	Kidney Transplant Recipient Registration (TRR)	Instruction	Modified
181736	Kidney Transplant Candidate Registration (TCR)	Form	Modified	Kidney Transplant Candidate Registration_Form_clean.xlsx
181736	Kidney Transplant Candidate Registration (TCR)	Instruction	Modified
181733	Heart/Lung Transplant Candidate Registration (TCR)	Form	Modified	Heart/Lung Transplant Candidate Registration_Form_clean.xlsx
181733	Heart/Lung Transplant Candidate Registration (TCR)	Instruction	Modified
181732	Lung Transplant Candidate Registration (TCR)	Form	Modified	Lung Transplant Candidate Registration_Form
181732	Lung Transplant Candidate Registration (TCR)	Instruction	Modified
181731	Heart Transplant Candidate Registration (TCR)	Form	Modified	Heart Transplant Candidate Registration_Form_clean.xlsx
181731	Heart Transplant Candidate Registration (TCR)	Instruction	Modified
181730	Recipient Histocompatibility Form	Form	Modified	Recipient Histocompatibility_Form._Clean.xlsx
181730	Recipient Histocompatibility Form	Instruction	Modified
181729	Donor Histocompatibility Form	Form	Modified	Donor Histocompatibility_Form.xlsx
181729	Donor Histocompatibility Form	Instruction	Modified
181728	Living Donor Follow-up (LDF)	Form	Modified	Living Donor Follow-Up Form
181728	Living Donor Follow-up (LDF)	Form	Modified
181728	Living Donor Follow-up (LDF)	Other-Redline	Modified
181727	Living Donor Registration (LDR)	Form	Modified	Living Donor Registration Form
181727	Living Donor Registration (LDR)	Instruction	Modified

ICR Details

OMB Control No: 0915-0157	ICR Reference No: 202506-0915-004
Status: Historical Active	Previous ICR Reference No: 202306-0915-003
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Data System for Organ Procurement and Transplantation Network
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/21/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/02/2025
Terms of Clearance: Prior to the next revision or extension of this package the agency will implement batch reporting to automate data collection and complete a deduplication review to ensure that redundant data elements are no longer collected. If logistical obstacles prevent implementation of either of these improvements, then a detailed explanation of steps taken and obstacles encountered will be provided in the package.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2028	36 Months From Approved	09/30/2026
Responses	3,184,246	0	2,352,737
Time Burden (Hours)	851,578	0	647,633
Cost Burden (Dollars)	0	0	0

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Abstract: Section 372 of the Public Health Service Act requires that the Secretary of Health and Human Services, by award, provide for the establishment and operation of the Organ Procurement and Transplantation Network (OPTN), which, under oversight of the HRSA, operates the U.S. Organ Procurement and Transplantation system. Significant changes to the collection include: 1) Adding data collection forms for candidates listed in the OPTN organ transplant waiting list to the existing OMB-approved information collection. These forms allow a transplant center to add, change, or remove candidates from the OPTN waiting list after a transplant center completes the patient evaluation. These forms contain information that the OPTN electronic organ matching system uses to match potential organ recipients with available deceased donor organs. There are 83 new data collection forms: candidate listing registration forms of all organs, candidate status justification forms of all applicable organs, Model for End-Stage Liver Disease or Pediatric End-Stage Liver Disease score exception and extension forms, and other forms. Additional revisions to existing OPTN data collection forms were made based on the OPTN Board of Directors (BOD)-approved changes to improve organ matching, allocation, and OPTN policy compliance; 2) Adding OPTN Board of Directors-approved revisions to existing data collection forms to improve organ matching, allocation, and OPTN policy compliance.

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Authorizing Statute(s): US Code: 42 USC 274(b)(2)(I), Sec 372(b)(2)(I) Name of Law: PHS Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 87380	11/01/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 27037	06/25/2025
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 153

IC Title	Form No.	Form Name
Adult Heart Candidate Listing Registration	83	Adult Heart Candidate Listing Registration
Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	133	Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data	132	Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	131	Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	129	Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data
Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data	130	Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data
Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data	136	Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	137	Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data	138	Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	135	Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data	134	Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	141	Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data	142	Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data	140	Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	139	Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	145	Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data	144	Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	143	Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data
Adult HeartLung Candidate Listing Registration	85	Adult HeartLung Candidate Listing Registration
Adult Intestine Candidate Listing Registration	81	Adult Intestine Candidate Listing Registration
Adult Kidney Candidate Listing Registration	71	Adult Kidney Candidate Listing Registration
Adult Kidney Pancreas Candidate Listing Registration	73	Adult Kidney Pancreas Candidate Listing Registration
Adult Liver Candidate Listing Registration	79	Adult Liver Candidate Listing Registration
Adult Liver Status 1A Initial Justification and Extension Form	108	Adult Liver Status 1A Initial Justification and Extension Form
Adult Lung Candidate Listing Registration	87	Adult Lung Candidate Listing Registration
Adult Pancreas Candidate Listing Registration	75	Adult Pancreas Candidate Listing Registration
Adult Pancreas Islet Listing Registration	77	Adult Pancreas Islet Listing Registration
Adult and Pediatric Lung and HeartLung Goal Exception Form	146	Adult and Pediatric Lung and HeartLung Goal Exception Form
Candidate Registration Listing Removal	89	Candidate Registration Listing Removal
Death Notification Registration	66	Death Notification Registration
Deceased Donor Death Referral	67	Deceased Donor Death Referral
Deceased Donor Registration (DDR)	1	Deceased Donor Registration (DDR)
Discrepant HLA Typings Reporting Form	152	Non-US Transplants Reporting Form
Disease Transmission Event	58	Disease Transmission Event_Form.xlsx
Donor Histocompatibility Form	4	Donor Histocompatibility_Form.xlsx
Donor Hospital Registration	68	Donor Hospital Registration
Donor Organ Disposition	69	Donor Organ Disposition
Extra Vessels Reporting Form	150	Extra Vessels Reporting Form
Heart Post-Transplant Malignancy Form	11	Heart Post Transplant Malignancy_Form.xlsx
Heart Transplant Candidate Registration (TCR)	6	Heart Transplant Candidate Registration_Form_clean.xlsx
Heart Transplant Recipient Follow Up (6 months)	8	Heart Transplant Recipient Follow Up 6 Month_Form.xlsx
Heart Transplant Recipient Follow Up 1-5 Year	9	Heart Transplant Recipient Follow Up 1_5 Year _Form_Clean.xlsx
Heart Transplant Recipient Follow Up Post 5 Year	10	Heart Transplant Recipient Follow Up Post 5 Year_Form_Clean.xlsx
Heart Transplant Recipient Registration (TRR)	7	Heart Transplant Recipient Registration_Form_clean.xlsx
Heart/Lung Post Transplant Malignancy (PTM) Form	23	HeartLung Post Transplant Malignancy_Form.xlsx
Heart/Lung Recipient Registration	19	Heart/Lung Transplant Recipient Registration_Form_clean.xlsx
Heart/Lung Transplant Candidate Registration (TCR)	18	Heart/Lung Transplant Candidate Registration_Form_clean.xlsx
Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF)	21	Heart/Lung Transplant Recipient Follow Up 1_5 Year_Form.xlsx
Heart/Lung Transplant Recipient Follow Up 6 Month (TRF)	20	Heart/Lung Transplant Recipient Follow Up 6 Month_Form.xlsx
Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF)	22	Heart/Lung Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Initial Donor Registration	63	Initial Donor Registration
Interim Event Reporting Form	153	Interim Event Reporting Form
Intestinal Waiting Time Reinstatement Form	105	Intestinal Waiting Time Reinstatement Form
Intestine Post Transplant Malignancy (PTM) Form	34	Intestine Post Transplant Malignancy_Form.xlsx
Intestine Transplant Candidate Registration (TCR)	30	Intestine Transplant Candidate Registration_Form_clean.xlsx
Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF)	32	Intestine Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
Intestine Transplant Recipient Follow Up Post 5 Year (TRF)	33	Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
Intestine Transplant Recipient Registration (TRR)	31	Intestine Transplant Recipient Registration_Form_clean.xlsx
Kidney Minimum Acceptance Criteria	107	Kidney Minimum Acceptance Criteria
Kidney Paired Donation Candidate Registration	55	Kidney Paired Donation Candidate Registration_Form_clean.xlsx
Kidney Paired Donation Donor Registration	56	Kidney Paired Donation Donor Registration_Form_clean.xlsx
Kidney Paired Donation Match Offer Management	57	Kidney Paired Donation Match Offer Management_Form.xlsx
Kidney Post Transplant Malignancy (PTM) Form	39	Kidney Post Transplant Malignancy_Form.xlsx
Kidney Transplant Candidate Registration (TCR)	35	Kidney Transplant Candidate Registration_Form_clean.xlsx
Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF)	37	Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
Kidney Transplant Recipient Follow Up Post 5 Year (TRF)	38	Kidney Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
Kidney Transplant Recipient Registration (TRR)	36	Kidney Transplant Recipient Registration_Form_clean.xlsx
Kidney/Pancreas Post Transplant Malignancy (PTM) Form	49	Kidney/Pancreas Post Transplant Malignancy_Form.xlsx
Kidney/Pancreas Transplant Candidate Registration (TCR)	45	Kidney/Pancreas Transplant Candidate Registration_Form_clean.xlsx
Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)	47	Kidney/Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	48	Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
Kidney/Pancreas Transplant Recipient Registration (TRR)	46	Kidney/Pancreas Transplant Recipient Registration_Form_clean.xlsx
Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	111	Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form
Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	112	Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form
Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	113	Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form
Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	114	Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form
Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	115	Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form
Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form	116	Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form
Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	117	Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form
Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	118	Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form
Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	119	Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form
Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	120	Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form
Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	121	Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form
Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	125	Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form
Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	122	Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form
Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	123	Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form
Liver Post Transplant Malignancy (PTM) Form	29	Liver Post Transplant Malignancy_Form.xlsx
Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form	124	Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form
Liver Recipient Explant Pathology Form	28	Liver Explant Pathology Form.xlsx
Liver Transplant Candidate Registration (TCR)	24	Liver Transplant Candidate Registration_Form.xlsx
Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF)	26	Liver Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
Liver Transplant Recipient Follow Up Post 5 Year (TRF)	27	Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
Liver Transplant Recipient Registration (TRR)	25	Liver Transplant Recipient Registration_Form_clean.xlsx
Living Donor Event	59	Living Donor Event_Form.xlsx
Living Donor Feedback Form	149	Living Donor Feedback Form
Living Donor Follow-up (LDF)	3	Living Donor Follow-Up Form
Living Donor Registration (LDR)	2	Living Donor Registration Form
Lung - Post Transplant Malignancy (PTM) Form	17	Lung Post Transplant Malignancy_Form.xlsx
Lung Transplant Candidate Registration (TCR)	12	Lung Transplant Candidate Registration_Form
Lung Transplant Recipient Follow Up 1-5 Year (TRF)	15	Lung Transplant Recipient Follow Up 1_5 Year_Form
Lung Transplant Recipient Follow Up 6 Month (TRF)	14	Lung Transplant Recipient Follow Up 6 Month_Form.xlsx
Lung Transplant Recipient Follow Up Post 5 Year (TRF)	16	Lung Transplant Recipient Follow Up Post 5 Year_Form
Lung Transplant Recipient Registration (TRR)	13	Lung Transplant Recipient Registration_Form_clean.xlsx
Non-US Transplants Reporting Form	151	Non-US Transplants Reporting Form
OPO Notification Limit Administration	64	OPO Notification Limit Administration
OPTN Pancreas Waiting Time Reinstatement Form	104	OPTN Pancreas Waiting Time Reinstatement Form
OPTN Renal Waiting Time Reinstatement Form	103	Renal Waiting Time Reinstatement Form
OPTN Waiting Time Modification Form	102	OPTN Waiting Time Modification Form
OPTN Waiting Time Transfer Form	101	OPTN Waiting Time Transfer Form
Organ Export Verification Form	100	Organ Export Verification Form
Organ Labeling and Packaging System	53	Organ Labeling and Packaging_Form.xlsx
Organ Tracking and Validating System	54	Organ Tracking and Validating_Form.xlsx
Pancreas Post Transplant Malignancy (PTM) Form	44	Pancreas Post Transplant Malignancy_Form.xlsx
Pancreas Transplant Candidate Registration (TCR)	40	Pancreas Transplant Candidate Registration_Form_clean.xlsx
Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)	42	Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	43	Pancreas Transplant Recipient Follow Up Post 5 Year_ Form_clean.xlsx
Pancreas Transplant Recipient Registration (TRR)	41	Pancreas Transplant Recipient Registration_Form_clean.xlsx
Pediatric Heart Candidate Listing Registration	84	Pediatric Heart Candidate Listing Registration
Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	127	Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms
Pediatric Heart and HeartLung Status 1A Initial Justification Form	126	Pediatric Heart and HeartLung Status 1A Initial Justification Form
Pediatric Heart and HeartLung Status 1B Initial Justification Form	128	Pediatric Heart and HeartLung Status 1B Initial Justification Form
Pediatric HeartLung Candidate Listing Registration	86	Pediatric HeartLung Candidate Listing Registration
Pediatric Intestine Candidate Listing Registration	82	Pediatric Intestine Candidate Listing Registration
Pediatric Kidney Candidate Listing Registration	72	Pediatric Kidney Candidate Listing Registration Form
Pediatric Kidney Pancreas Candidate Listing Registration	74	Pediatric Kidney Pancreas Candidate Listing Registration
Pediatric Liver Candidate Listing Registration	80	Pediatric Liver Candidate Listing Registration
Pediatric Liver Status 1A Initial Justification and Extension Form	109	Pediatric Liver Status 1A Initial Justification and Extension Form
Pediatric Liver Status 1B Initial Justification and Extension Form	110	Pediatric Liver Status 1B Initial Justification and Extension Form
Pediatric Lung Candidate Listing Registration	88	Pediatric Lung Candidate Listing Registration
Pediatric Lung Priority 1 Status Justification Form	147	Pediatric Lung Priority 1 Status Justification Form
Pediatric Pancreas Candidate Listing Registration	76	Pediatric Pancreas Candidate Listing Registration
Pediatric Pancreas Islet Listing Registration	78	Pediatric Pancreas Islet Listing Registration
Potential Disease Transmission Report	61	Potential Disease Transmission Report_Form.xlsx
Potential Transplant Recipient	65	Potential Transplant Recipient
Prior Living Donor Priority	106	Prior Living Donor Priority
Recipient Histocompatibility Form	5	Recipient Histocompatibility_Form._Clean.xlsx
Request to Unlock Form	62	Request to Unlock Form_Form.xlsx
Review Board Voter Form	148	Review Board Voter Form
Safety Situation	60	Safety Situation_Form.xlsx
Transplant Center Contact Management	70	Transplant Center Contact Management
VCA Abdominal Wall Candidate Listing Registration	90	VCA Abdominal Wall Candidate Listing Registration
VCA External Male Genitalia Candidate Listing Registration	91	VCA Head and Neck Candidate Listing Registration
VCA Head and Neck Candidate Listing Registration	92	VCA Head and Neck Candidate Listing Registration
VCA Lower Limb Candidate Listing Registration	93	VCA Lower Limb Candidate Listing Registration
VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	94	VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration
VCA Other Genitourinary Organ Candidate Listing Registration	95	VCA Other Genitourinary Organ Candidate Listing Registration
VCA Spleen Candidate Listing Registration	96	VCA Spleen Candidate Listing Registration
VCA Transplant Candidate Registration (TCR)	50	VCA Transplant Candidate Registration_Form.xlsx
VCA Transplant Recipient Follow Up (TRF)	52	VCA Transplant Recipient Follow Up_Form_clean.xlsx
VCA Transplant Recipient Registration (TRR)	51	VCA Transplant Recipient Registration_Form_clean.xlsx
VCA Upper Limb Candidate Listing Registration	97	VCA Upper Limb Candidate Listing Registration
VCA Uterus Candidate Listing Registration	98	VCA Uterus Candidate Listing Registration
VCA Vascularized Gland Candidate Listing Registration	99	VCA Vascularized Gland Candidate Listing Registration

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,184,246	2,352,737	0	831,509	0	0
Annual Time Burden (Hours)	851,578	647,633	0	203,945	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The estimated burden hours for this collection increased by 203,945 hours from the currently approved ICR package. This increase included 96,156 hours due to the addition of 83 new data collection forms for the OPTN waiting list and 107,789 hours due to OPTN BOD-approved data collection changes to existing forms and changes in the number of respondents. Any burden reductions to existing forms are due to adjustments in the average burden per response based on stakeholder consultation.

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Annual Cost to Federal Government: $600,530

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/02/2025

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