Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF)

Data System for Organ Procurement and Transplantation Network

OMB: 0915-0157

IC ID: 214128

Information Collection (IC) Details

View Information Collection (IC)

Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 22. HeartLung Transplant Recipient Follow Up Post 5 Year_Instructions.docx Yes Yes Fillable Fileable
Form 22 Heart/Lung Transplant Recipient Follow Up Post 5 Year_Form.xlsx 22. HeartLung Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx Yes Yes Fillable Fileable
Other-Redline 22. HeartLung Transplant Recipient Follow Up Post 5 Year_Form_redline.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

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

72 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 241 0 6 0 0 235
Annual IC Time Burden (Hours) 145 0 4 0 0 141
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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