Information Collection

Kidney Transplant Recipient Follow Up Post 5 Year (TRF)

IC 226442 under ICR 202506-0915-004 · OMB 0915-0157.

Documents and Forms

Document Name Document Type
38. Kidney Transplant Recipient Follow Up Post 5 Year _Instructions.docx Instruction
38. Kidney Transplant Recipient Follow Up Post 5 Year _Instructions.docx Instruction
38. Kidney Transplant Recipient Follow Up Post 5 Year_Form_redline.xlsx Other-Redline
38. Kidney Transplant Recipient Follow Up Post 5 Year_Form_redline.xlsx Other-Redline
38 Kidney Transplant Recipient Follow Up Post 5 Year_Form_c 38. Kidney Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx Form
38 Kidney Transplant Recipient Follow Up Post 5 Year_Form_c 38. Kidney Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Kidney Transplant Recipient Follow Up Post 5 Year (TRF)	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			38. Kidney Transplant Recipient Follow Up Post 5 Year _Instructions.docx	Yes	Yes	Fillable Fileable
Form	38	Kidney Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx	38. Kidney Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx	Yes	Yes	Fillable Fileable
Other-Redline			38. Kidney Transplant Recipient Follow Up Post 5 Year_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: 228	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	128,955	6,082	122,873
Annual IC Time Burden (Hours)	64,478	3,041	61,437
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.

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