Living Donor Registration (LDR)

Data System for Organ Procurement and Transplantation Network

Documents and Forms

Document Name Document Type
2. Living Donor Registration_Instructions.docx Instruction
2. Living Donor Registration_Form_redline.xlsx Other-Redline
2 Living Donor Registration Form 2. Living Donor Registration_Form_clean.xlsx Form

Information Collection (IC) Details

IC Title:	Living Donor Registration (LDR)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			2. Living Donor Registration_Instructions.docx	Yes	Yes	Fillable Fileable
Form	2	Living Donor Registration Form	2. Living Donor Registration_Form_clean.xlsx	Yes	Yes	Fillable Fileable
Other-Redline			2. Living Donor Registration_Form_redline.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Privacy Act System of Records Notice #09-15-0055	FR Citation: 87 FR 46967

Number of Respondents: 207	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,918	846	6,072
Annual IC Time Burden (Hours)	15,150	1,852	13,298
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.