Data System for Organ Procurement and Transplantation Network

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Deceased Donor Registration Form	Form	Modified	Available
Form 152 Patient Transfer Form	Form	New	Available
Form 151 Patient Safety Contact Management Form	Form	New	Available
Form 150 Interim Event Reporting Form	Form	Modified	Available
Form 149 Discrepant HLA Typings Reporting Form	Form	Modified	Available
Form 148 Non-US Transplants Reporting Form	Form	Modified	Available
Form 147 Extra Vessels Reporting Form	Form	Modified	Available
Form 146 Living Donor Feedback Form	Form	Modified	Available
Form 145 Review Board Voter Form	Form	Modified	Available
Form 144 Pediatric Lung Priority 1 Status Justification Form	Form	Modified	Available
Form 143 Adult and Pediatric Lung and HeartLung Goal Exception Form	Form	Modified	Available
Form 142 Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 141 Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 140 Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Form	Modified	Available
Form 139 Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 138 Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 137 Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 136 Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Form	Modified	Available
Form 135 Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 134 Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 133 Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 132 Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 131 Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data_Form_clean	Form	Modified	Available
Form 130 Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 129 Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data	Form	Modified	Available
Form 128 Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Form	Modified	Available
Form 127 Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data	Form	Modified	Available
Form 126 Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Form	Modified	Available
Form 125 Pediatric Heart and HeartLung Status 1B Initial Justification Form	Form	Modified	Available
Form 124 Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Form	Modified	Available
Form 123 Pediatric Heart and HeartLung Status 1A Initial Justification Form	Form	Modified	Available
Form 122 Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Form	Modified	Available
Form 121 Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form	Form	Modified	Available
Form 120 Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Form	Modified	Available
Form 119 Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	Form	Modified	Available
Form 118 Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Form	Modified	Available
Form 117 Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	Form	Modified	Available
Form 116 Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Form	Modified	Available
Form 115 Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	Form	Modified	Available
Form 114 Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Form	Modified	Available
Form 113 Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form	Form	Modified	Available
Form 112 Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Form	Modified	Available
Form 111 Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	Form	Modified	Available
Form 110 Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Form	Modified	Available
Form 109 Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	Form	Modified	Available
Form 108 Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Form	Modified	Available
Form 107 Pediatric Liver Status 1B Initial Justification and Extension Form	Form	Modified	Available
Form 106 Pediatric Liver Status 1A Initial Justification and Extension Form	Form	Modified	Available
Form 105 Adult Liver Status 1A Initial Justification and Extension Form	Form	Modified	Available
Form 104 Kidney Minimum Acceptance Criteria	Form	Modified	Available
Form 103 Prior Living Donor Priority	Form	Modified	Available
Form 102 Intestinal Waiting Time Reinstatement Form	Form	Modified	Available
Form 101 OPTN Pancreas Waiting Time Reinstatement Form	Form	Modified	Available
Form 100 Renal Waiting Time Reinstatement Form	Form	Modified	Available
Form 99 OPTN Waiting Time Modification Form	Form	Modified	Available
Form 98 OPTN Waiting Time Transfer Form	Form	Modified	Available
Form 97 Organ Export Verification Form	Form	Modified	Available
Form 96 VCA Vascularized Gland Candidate Listing Registration	Form	Modified	Available
Form 95 VCA Uterus Candidate Listing Registration	Form	Modified	Available
Form 94 VCA Upper Limb Candidate Listing Registration	Form	Modified	Available
Form 93 VCA Spleen Candidate Listing Registration	Form	Modified	Available
Form 92 VCA Other Genitourinary Organ Candidate Listing Registration	Form	Modified	Available
Form 91 VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Form	Modified	Available
Form 90 VCA Lower Limb Candidate Listing Registration	Form	Modified	Available
Form 89 VCA Head and Neck Candidate Listing Registration	Form	Modified	Available
Form 88 VCA Head and Neck Candidate Listing Registration	Form	Modified	Available
Form 87 VCA Abdominal Wall Candidate Listing Registration	Form	Modified	Available
Form 86 Candidate Registration Listing Removal	Form	Modified	Available
Form 85 Pediatric Lung Candidate Listing Registration	Form	Modified	Available
Form 84 Adult Lung Candidate Listing Registration_Form_clean	Form	Modified	Available
Form 83 Pediatric Lung Candidate Listing Registration	Form	Modified	Available
Form 82 Adult HeartLung Candidate Listing Registration	Form	Modified	Available
Form 81 Pediatric Heart Candidate Listing Registration	Form	Modified	Available
Form 80 Adult Heart Candidate Listing Registration	Form	Modified	Available
Form 79 Pediatric Intestine Candidate Listing Registration	Form	Modified	Available
Form 78 Adult Intestine Candidate Listing Registration	Form	Modified	Available
Form 77 Pediatric Liver Candidate Listing Registration	Form	Modified	Available
Form 76 Adult Liver Candidate Listing Registration	Form	Modified	Available
Form 75 Pediatric Pancreas Islet Listing Registration	Form	Modified	Available
Form 74 Adult Pancreas Islet Listing Registration	Form	Modified	Available
Form 73 Pediatric Pancreas Candidate Listing Registration	Form	Modified	Available
Form 72 Adult Pancreas Candidate Listing Registration	Form	Modified	Available
Form 71 Pediatric Kidney Pancreas Candidate Listing Registration	Form	Modified	Available
Form 70 Adult Kidney Pancreas Candidate Listing Registration	Form	Modified	Available
Form 69 Pediatric Kidney Candidate Listing Registration Form	Form	Modified	Available
Form 68 Adult Kidney Candidate Listing Registration	Form	Modified	Available
Form 67 Transplant Center Contact Management	Form	Modified	Available
Form 66 Donor Organ Disposition	Form	Modified	Available
Form 65 Donor Hospital Registration	Form	Modified	Available
Form 67 Deceased Donor Death Referral	Form	Removed	Available
Form 66 Death Notification Registration	Form	Removed	Available
Form 64 Potential Transplant Recipient	Form	Modified	Available
Form 63 OPO Notification Limit Administration	Form	Modified	Available
Form 62 Initial Donor Registration	Form	Modified	Available
Form 61 Request to Unlock Form_Form.xlsx	Form	Modified	Available
Form 60 Potential Disease Transmission Report_Form.xlsx	Form	Modified	Available
Form 59 Safety Situation_Form.xlsx	Form	Modified	Available
Form 58 Living Donor Event_Form.xlsx	Form	Modified	Available
Form 57 Disease Transmission Event_Form.xlsx	Form	Modified	Available
Form 56 Kidney Paired Donation Match Offer Management_Form.xlsx	Form	Modified	Available
Form 55 Kidney Paired Donation Donor Registration_Form_clean.xlsx	Form	Modified	Available
Form 54 Kidney Paired Donation Candidate Registration_Form_clean.xlsx	Form	Modified	Available
Form 53 Organ Tracking and Validating_Form.xlsx	Form	Modified	Available
Form 52 Organ Labeling and Packaging_Form.xlsx	Form	Modified	Available
Form 51 VCA Transplant Recipient Follow Up_Form_clean.xlsx	Form	Modified	Available
Form 50 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	Available
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	Available
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	Available
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	Available
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	Removed	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	Available
Form 31 Intestine Transplant Recipient Registration_Form_clean.xlsx	Form	Modified	Available
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	Modified	Available
Form 4 Donor Histocompatibility_Form.xlsx	Form	Modified	Available
Form 3 Living Donor Follow-Up Form	Form	Modified	Available
Form 2 Living Donor Registration Form	Form	Modified	Available
HRSA Supporting Statement - OPTN Data System 0906-0110-Revision 10.13.2026 (1).docx	Supporting Statement A	Uploaded 2026-10-14	Available
PRIVACY ACT STATEMENT 0906-0110.docx	Supplementary Document	Uploaded 2026-10-09	Available
1. Comment - Vanderbilt TC_7.8.2026_ 0906–0110—Revision.pdf	Public Comments	Uploaded 2026-07-08	Available
1. Transmittal - Vanderbilt TC_7.8.2026_ 0906–0110—Revision.pdf	Public Comments	Uploaded 2026-07-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6389	Deceased Donor Registration (DDR)	Other-Redline	Modified
6389	Deceased Donor Registration (DDR)	Form	Modified	Deceased Donor Registration Form
282940	Patient Transfer Form	Instruction	New
282940	Patient Transfer Form	Form	New	Patient Transfer Form
282938	Patient Safety Contact Management Form	Instruction	New
282938	Patient Safety Contact Management Form	Form	New	Patient Safety Contact Management Form
276081	Interim Event Reporting Form	Instruction	Modified
276081	Interim Event Reporting Form	Form	Modified	Interim Event Reporting Form
276080	Discrepant HLA Typings Reporting Form	Other-Redline	Modified
276080	Discrepant HLA Typings Reporting Form	Form	Modified	Discrepant HLA Typings Reporting Form
276079	Non-US Transplants Reporting Form	Instruction	Modified
276079	Non-US Transplants Reporting Form	Form	Modified	Non-US Transplants Reporting Form
276078	Extra Vessels Reporting Form	Form	Modified	Extra Vessels Reporting Form
276078	Extra Vessels Reporting Form	Instruction	Modified
276077	Living Donor Feedback Form	Instruction	Modified
276077	Living Donor Feedback Form	Form	Modified	Living Donor Feedback Form
276076	Review Board Voter Form	Form	Modified	Review Board Voter Form
276076	Review Board Voter Form	Instruction	Modified
276075	Pediatric Lung Priority 1 Status Justification Form	Instruction	Modified
276075	Pediatric Lung Priority 1 Status Justification Form	Form	Modified	Pediatric Lung Priority 1 Status Justification Form
276073	Adult and Pediatric Lung and HeartLung Goal Exception Form	Form	Modified	Adult and Pediatric Lung and HeartLung Goal Exception Form
276073	Adult and Pediatric Lung and HeartLung Goal Exception Form	Instruction	Modified
276072	Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Instruction	Modified
276072	Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Form	Modified	Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data
276070	Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data	Form	Modified	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	Modified
276069	Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Instruction	Modified
276069	Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Form	Modified	Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data
276068	Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data	Form	Modified	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	Modified
276066	Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Instruction	Modified
276066	Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Form	Modified	Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data
276064	Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data	Form	Modified	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	Modified
276063	Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Instruction	Modified
276063	Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Form	Modified	Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data
276062	Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data	Form	Modified	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	Modified
276061	Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Instruction	Modified
276061	Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Form	Modified	Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data
276060	Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data	Form	Modified	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	Modified
276059	Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Instruction	Modified
276059	Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Form	Modified	Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data
276058	Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data	Other-Redline	Modified
276058	Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data	Form	Modified	Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data_Form_clean
276057	Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Instruction	Modified
276057	Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Form	Modified	Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data
276056	Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data	Form	Modified	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	Modified
276055	Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Instruction	Modified
276055	Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Form	Modified	Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data
276054	Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data	Form	Modified	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	Modified
276050	Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Instruction	Modified
276050	Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Form	Modified	Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data
276049	Pediatric Heart and HeartLung Status 1B Initial Justification Form	Form	Modified	Pediatric Heart and HeartLung Status 1B Initial Justification Form
276049	Pediatric Heart and HeartLung Status 1B Initial Justification Form	Instruction	Modified
276048	Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Instruction	Modified
276048	Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Form	Modified	Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms
276047	Pediatric Heart and HeartLung Status 1A Initial Justification Form	Form	Modified	Pediatric Heart and HeartLung Status 1A Initial Justification Form
276047	Pediatric Heart and HeartLung Status 1A Initial Justification Form	Instruction	Modified
276046	Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Instruction	Modified
276046	Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Form	Modified	Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form
276045	Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form	Form	Modified	Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form
276045	Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form	Instruction	Modified
276044	Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Instruction	Modified
276044	Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Form	Modified	Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form
276043	Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	Form	Modified	Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form
276043	Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	Instruction	Modified
276042	Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Instruction	Modified
276042	Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Form	Modified	Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form
276041	Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	Form	Modified	Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form
276041	Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	Instruction	Modified
276040	Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Instruction	Modified
276040	Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Form	Modified	Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form
276039	Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	Form	Modified	Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form
276039	Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	Instruction	Modified
276038	Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Instruction	Modified
276038	Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Form	Modified	Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form
276037	Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form	Form	Modified	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	Modified
276036	Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Instruction	Modified
276036	Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Form	Modified	Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form
276035	Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	Form	Modified	Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form
276035	Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	Instruction	Modified
276034	Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Instruction	Modified
276034	Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Form	Modified	Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form
276033	Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	Form	Modified	Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form
276033	Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	Instruction	Modified
276032	Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Instruction	Modified
276032	Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Form	Modified	Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form
276028	Pediatric Liver Status 1B Initial Justification and Extension Form	Form	Modified	Pediatric Liver Status 1B Initial Justification and Extension Form
276028	Pediatric Liver Status 1B Initial Justification and Extension Form	Instruction	Modified
276027	Pediatric Liver Status 1A Initial Justification and Extension Form	Instruction	Modified
276027	Pediatric Liver Status 1A Initial Justification and Extension Form	Form	Modified	Pediatric Liver Status 1A Initial Justification and Extension Form
276026	Adult Liver Status 1A Initial Justification and Extension Form	Form	Modified	Adult Liver Status 1A Initial Justification and Extension Form
276026	Adult Liver Status 1A Initial Justification and Extension Form	Instruction	Modified
276024	Kidney Minimum Acceptance Criteria	Instruction	Modified
276024	Kidney Minimum Acceptance Criteria	Form	Modified	Kidney Minimum Acceptance Criteria
276023	Prior Living Donor Priority	Form	Modified	Prior Living Donor Priority
276023	Prior Living Donor Priority	Instruction	Modified
276022	Intestinal Waiting Time Reinstatement Form	Instruction	Modified
276022	Intestinal Waiting Time Reinstatement Form	Form	Modified	Intestinal Waiting Time Reinstatement Form
276020	OPTN Pancreas Waiting Time Reinstatement Form	Form	Modified	OPTN Pancreas Waiting Time Reinstatement Form
276020	OPTN Pancreas Waiting Time Reinstatement Form	Instruction	Modified
276019	OPTN Renal Waiting Time Reinstatement Form	Instruction	Modified
276019	OPTN Renal Waiting Time Reinstatement Form	Form	Modified	Renal Waiting Time Reinstatement Form
276018	OPTN Waiting Time Modification Form	Form	Modified	OPTN Waiting Time Modification Form
276018	OPTN Waiting Time Modification Form	Instruction	Modified
276017	OPTN Waiting Time Transfer Form	Instruction	Modified
276017	OPTN Waiting Time Transfer Form	Form	Modified	OPTN Waiting Time Transfer Form
276006	Organ Export Verification Form	Instruction	Modified
276006	Organ Export Verification Form	Form	Modified	Organ Export Verification Form
276005	VCA Vascularized Gland Candidate Listing Registration	Form	Modified	VCA Vascularized Gland Candidate Listing Registration
276005	VCA Vascularized Gland Candidate Listing Registration	Instruction	Modified
276004	VCA Uterus Candidate Listing Registration	Instruction	Modified
276004	VCA Uterus Candidate Listing Registration	Form	Modified	VCA Uterus Candidate Listing Registration
276003	VCA Upper Limb Candidate Listing Registration	Form	Modified	VCA Upper Limb Candidate Listing Registration
276003	VCA Upper Limb Candidate Listing Registration	Instruction	Modified
276002	VCA Spleen Candidate Listing Registration	Instruction	Modified
276002	VCA Spleen Candidate Listing Registration	Form	Modified	VCA Spleen Candidate Listing Registration
275999	VCA Other Genitourinary Organ Candidate Listing Registration	Form	Modified	VCA Other Genitourinary Organ Candidate Listing Registration
275999	VCA Other Genitourinary Organ Candidate Listing Registration	Instruction	Modified
275998	VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Instruction	Modified
275998	VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Form	Modified	VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration
275997	VCA Lower Limb Candidate Listing Registration	Form	Modified	VCA Lower Limb Candidate Listing Registration
275997	VCA Lower Limb Candidate Listing Registration	Instruction	Modified
275996	VCA Head and Neck Candidate Listing Registration	Instruction	Modified
275996	VCA Head and Neck Candidate Listing Registration	Form	Modified	VCA Head and Neck Candidate Listing Registration
275995	VCA External Male Genitalia Candidate Listing Registration	Instruction	Modified
275995	VCA External Male Genitalia Candidate Listing Registration	Form	Modified	VCA Head and Neck Candidate Listing Registration
275994	VCA Abdominal Wall Candidate Listing Registration	Form	Modified	VCA Abdominal Wall Candidate Listing Registration
275994	VCA Abdominal Wall Candidate Listing Registration	Instruction	Modified
275993	Candidate Registration Listing Removal	Instruction	Modified
275993	Candidate Registration Listing Removal	Form	Modified	Candidate Registration Listing Removal
275992	Pediatric Lung Candidate Listing Registration	Form	Modified	Pediatric Lung Candidate Listing Registration
275992	Pediatric Lung Candidate Listing Registration	Instruction	Modified
275991	Adult Lung Candidate Listing Registration	Other-Redline	Modified
275991	Adult Lung Candidate Listing Registration	Form	Modified	Adult Lung Candidate Listing Registration_Form_clean
275990	Pediatric HeartLung Candidate Listing Registration	Other-Redline	Modified
275990	Pediatric HeartLung Candidate Listing Registration	Form	Modified	Pediatric Lung Candidate Listing Registration
275988	Adult HeartLung Candidate Listing Registration	Instruction	Modified
275988	Adult HeartLung Candidate Listing Registration	Form	Modified	Adult HeartLung Candidate Listing Registration
275987	Pediatric Heart Candidate Listing Registration	Form	Modified	Pediatric Heart Candidate Listing Registration
275987	Pediatric Heart Candidate Listing Registration	Instruction	Modified
275968	Adult Heart Candidate Listing Registration	Form	Modified	Adult Heart Candidate Listing Registration
275968	Adult Heart Candidate Listing Registration	Instruction	Modified
275967	Pediatric Intestine Candidate Listing Registration	Instruction	Modified
275967	Pediatric Intestine Candidate Listing Registration	Form	Modified	Pediatric Intestine Candidate Listing Registration
275966	Adult Intestine Candidate Listing Registration	Form	Modified	Adult Intestine Candidate Listing Registration
275966	Adult Intestine Candidate Listing Registration	Instruction	Modified
275965	Pediatric Liver Candidate Listing Registration	Instruction	Modified
275965	Pediatric Liver Candidate Listing Registration	Form	Modified	Pediatric Liver Candidate Listing Registration
275964	Adult Liver Candidate Listing Registration	Form	Modified	Adult Liver Candidate Listing Registration
275964	Adult Liver Candidate Listing Registration	Instruction	Modified
275963	Pediatric Pancreas Islet Listing Registration	Instruction	Modified
275963	Pediatric Pancreas Islet Listing Registration	Form	Modified	Pediatric Pancreas Islet Listing Registration
275962	Adult Pancreas Islet Listing Registration	Form	Modified	Adult Pancreas Islet Listing Registration
275962	Adult Pancreas Islet Listing Registration	Instruction	Modified
275961	Pediatric Pancreas Candidate Listing Registration	Instruction	Modified
275961	Pediatric Pancreas Candidate Listing Registration	Form	Modified	Pediatric Pancreas Candidate Listing Registration
275960	Adult Pancreas Candidate Listing Registration	Form	Modified	Adult Pancreas Candidate Listing Registration
275960	Adult Pancreas Candidate Listing Registration	Instruction	Modified
275959	Pediatric Kidney Pancreas Candidate Listing Registration	Instruction	Modified
275959	Pediatric Kidney Pancreas Candidate Listing Registration	Form	Modified	Pediatric Kidney Pancreas Candidate Listing Registration
275957	Adult Kidney Pancreas Candidate Listing Registration	Form	Modified	Adult Kidney Pancreas Candidate Listing Registration
275957	Adult Kidney Pancreas Candidate Listing Registration	Instruction	Modified
275956	Pediatric Kidney Candidate Listing Registration	Instruction	Modified
275956	Pediatric Kidney Candidate Listing Registration	Form	Modified	Pediatric Kidney Candidate Listing Registration Form
275955	Adult Kidney Candidate Listing Registration	Instruction	Modified
275955	Adult Kidney Candidate Listing Registration	Form	Modified	Adult Kidney Candidate Listing Registration
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	Removed	Deceased Donor Death Referral
260699	Deceased Donor Death Referral	Instruction	Removed
260698	Death Notification Registration	Form	Removed	Death Notification Registration
260698	Death Notification Registration	Instruction	Removed
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	Other-Redline	Modified
260695	Initial Donor Registration	Form	Modified	Initial Donor Registration
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	Removed	VCA Transplant Candidate Registration_Form.xlsx
214131	VCA Transplant Candidate Registration (TCR)	Instruction	Removed
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	Other-Redline	Modified
181730	Recipient Histocompatibility Form	Form	Modified	Recipient Histocompatibility
181729	Donor Histocompatibility Form	Form	Modified	Donor Histocompatibility_Form.xlsx
181729	Donor Histocompatibility Form	Instruction	Modified
181728	Living Donor Follow-up (LDF)	Other-Redline	Modified
181728	Living Donor Follow-up (LDF)	Form	Modified	Living Donor Follow-Up Form
181727	Living Donor Registration (LDR)	Form	Modified	Living Donor Registration Form
181727	Living Donor Registration (LDR)	Instruction	Modified

ICR Details

OMB Control No: 0906-0110	ICR Reference No: 202610-0906-001
Status: Received in OIRA	Previous ICR Reference No: 202508-0906-005
Agency/Subagency: HHS/HRSA	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	Date Submitted to OIRA: 10/14/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2028
Responses	3,085,442	3,184,246
Time Burden (Hours)	903,603	851,578
Cost Burden (Dollars)	0	0

---

Abstract: Section 372(a) of the Public Health Service (PHS) Act requires the Secretary of Health and Human Services to provide for the establishment and operation of the OPTN. On behalf of HRSA, the OPTN oversees the United States (U.S.) organ procurement and transplantation system. Among its statutory responsibilities, the OPTN maintains the national waiting list of individuals awaiting organ transplantation, operates the computerized system that matches donor organs with transplant candidates, and maintains a 24-hour system to facilitate organ matching and placement. In accordance with Section 372(b)(2)(I) of the PHS Act (42 U.S.C. § 274(b)(2)(I)), the OPTN must also collect, analyze, and publish data concerning organ procurement and transplantation. The Health Resources and Services Administration (HRSA) seeks OMB approval for revisions to the Data System for the Organ Procurement and Transplantation Network (OPTN) information collection and the associated forms listed in Section 12. The proposed revisions include updates to existing data collection forms approved by the OPTN Board of Directors (BOD) to improve organ matching, organ allocation, and compliance with OPTN policies. This request also adds two new forms to the information collection: the Patient Safety Contact Management Form and the Patient Transfer Form (Forms 151 and 152 in the burden table in Section 12). The Patient Safety Contact Management Form enables OPTN members to identify their organization's primary and secondary patient safety contacts. The Patient Transfer Form enables transplant centers to document and facilitate the transfer of patients to another transplant center following transplantation and during the annual post-transplant follow-up period.

---

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

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 27964	05/15/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 64665	10/09/2026
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 152

table that charts list of burden

IC Title	Form No.	Form Name
Adult Heart Candidate Listing Registration	80	Adult Heart Candidate Listing Registration
Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	130	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	129	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	128	Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	126	Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data
Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data	127	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	133	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	134	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	135	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	132	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	131	Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data_Form_clean
Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	138	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	139	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	137	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	136	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	142	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	141	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	140	Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data
Adult HeartLung Candidate Listing Registration	82	Adult HeartLung Candidate Listing Registration
Adult Intestine Candidate Listing Registration	78	Adult Intestine Candidate Listing Registration
Adult Kidney Candidate Listing Registration	68	Adult Kidney Candidate Listing Registration
Adult Kidney Pancreas Candidate Listing Registration	70	Adult Kidney Pancreas Candidate Listing Registration
Adult Liver Candidate Listing Registration	76	Adult Liver Candidate Listing Registration
Adult Liver Status 1A Initial Justification and Extension Form	105	Adult Liver Status 1A Initial Justification and Extension Form
Adult Lung Candidate Listing Registration	84	Adult Lung Candidate Listing Registration_Form_clean
Adult Pancreas Candidate Listing Registration	72	Adult Pancreas Candidate Listing Registration
Adult Pancreas Islet Listing Registration	74	Adult Pancreas Islet Listing Registration
Adult and Pediatric Lung and HeartLung Goal Exception Form	143	Adult and Pediatric Lung and HeartLung Goal Exception Form
Candidate Registration Listing Removal	86	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 Form
Discrepant HLA Typings Reporting Form	149	Discrepant HLA Typings Reporting Form
Disease Transmission Event	57	Disease Transmission Event_Form.xlsx
Donor Histocompatibility Form	4	Donor Histocompatibility_Form.xlsx
Donor Hospital Registration	65	Donor Hospital Registration
Donor Organ Disposition	66	Donor Organ Disposition
Extra Vessels Reporting Form	147	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	62	Initial Donor Registration
Interim Event Reporting Form	150	Interim Event Reporting Form
Intestinal Waiting Time Reinstatement Form	102	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	104	Kidney Minimum Acceptance Criteria
Kidney Paired Donation Candidate Registration	54	Kidney Paired Donation Candidate Registration_Form_clean.xlsx
Kidney Paired Donation Donor Registration	55	Kidney Paired Donation Donor Registration_Form_clean.xlsx
Kidney Paired Donation Match Offer Management	56	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	108	Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form
Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	109	Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form
Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	110	Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form
Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	111	Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form
Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	112	Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form
Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form	113	Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form
Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	114	Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form
Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	115	Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form
Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	116	Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form
Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	117	Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form
Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	118	Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form
Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	122	Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form
Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	119	Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form
Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	120	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	121	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	58	Living Donor Event_Form.xlsx
Living Donor Feedback Form	146	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	148	Non-US Transplants Reporting Form
OPO Notification Limit Administration	63	OPO Notification Limit Administration
OPTN Pancreas Waiting Time Reinstatement Form	101	OPTN Pancreas Waiting Time Reinstatement Form
OPTN Renal Waiting Time Reinstatement Form	100	Renal Waiting Time Reinstatement Form
OPTN Waiting Time Modification Form	99	OPTN Waiting Time Modification Form
OPTN Waiting Time Transfer Form	98	OPTN Waiting Time Transfer Form
Organ Export Verification Form	97	Organ Export Verification Form
Organ Labeling and Packaging System	52	Organ Labeling and Packaging_Form.xlsx
Organ Tracking and Validating System	53	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
Patient Safety Contact Management Form	151	Patient Safety Contact Management Form
Patient Transfer Form	152	Patient Transfer Form
Pediatric Heart Candidate Listing Registration	81	Pediatric Heart Candidate Listing Registration
Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	124	Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms
Pediatric Heart and HeartLung Status 1A Initial Justification Form	123	Pediatric Heart and HeartLung Status 1A Initial Justification Form
Pediatric Heart and HeartLung Status 1B Initial Justification Form	125	Pediatric Heart and HeartLung Status 1B Initial Justification Form
Pediatric HeartLung Candidate Listing Registration	83	Pediatric Lung Candidate Listing Registration
Pediatric Intestine Candidate Listing Registration	79	Pediatric Intestine Candidate Listing Registration
Pediatric Kidney Candidate Listing Registration	69	Pediatric Kidney Candidate Listing Registration Form
Pediatric Kidney Pancreas Candidate Listing Registration	71	Pediatric Kidney Pancreas Candidate Listing Registration
Pediatric Liver Candidate Listing Registration	77	Pediatric Liver Candidate Listing Registration
Pediatric Liver Status 1A Initial Justification and Extension Form	106	Pediatric Liver Status 1A Initial Justification and Extension Form
Pediatric Liver Status 1B Initial Justification and Extension Form	107	Pediatric Liver Status 1B Initial Justification and Extension Form
Pediatric Lung Candidate Listing Registration	85	Pediatric Lung Candidate Listing Registration
Pediatric Lung Priority 1 Status Justification Form	144	Pediatric Lung Priority 1 Status Justification Form
Pediatric Pancreas Candidate Listing Registration	73	Pediatric Pancreas Candidate Listing Registration
Pediatric Pancreas Islet Listing Registration	75	Pediatric Pancreas Islet Listing Registration
Potential Disease Transmission Report	60	Potential Disease Transmission Report_Form.xlsx
Potential Transplant Recipient	64	Potential Transplant Recipient
Prior Living Donor Priority	103	Prior Living Donor Priority
Recipient Histocompatibility Form	5	Recipient Histocompatibility
Request to Unlock Form	61	Request to Unlock Form_Form.xlsx
Review Board Voter Form	145	Review Board Voter Form
Safety Situation	59	Safety Situation_Form.xlsx
Transplant Center Contact Management	67	Transplant Center Contact Management
VCA Abdominal Wall Candidate Listing Registration	87	VCA Abdominal Wall Candidate Listing Registration
VCA External Male Genitalia Candidate Listing Registration	88	VCA Head and Neck Candidate Listing Registration
VCA Head and Neck Candidate Listing Registration	89	VCA Head and Neck Candidate Listing Registration
VCA Lower Limb Candidate Listing Registration	90	VCA Lower Limb Candidate Listing Registration
VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	91	VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration
VCA Other Genitourinary Organ Candidate Listing Registration	92	VCA Other Genitourinary Organ Candidate Listing Registration
VCA Spleen Candidate Listing Registration	93	VCA Spleen Candidate Listing Registration
VCA Transplant Candidate Registration (TCR)	50	VCA Transplant Candidate Registration_Form.xlsx
VCA Transplant Recipient Follow Up (TRF)	51	VCA Transplant Recipient Follow Up_Form_clean.xlsx
VCA Transplant Recipient Registration (TRR)	50	VCA Transplant Recipient Registration_Form_clean.xlsx
VCA Upper Limb Candidate Listing Registration	94	VCA Upper Limb Candidate Listing Registration
VCA Uterus Candidate Listing Registration	95	VCA Uterus Candidate Listing Registration
VCA Vascularized Gland Candidate Listing Registration	96	VCA Vascularized Gland Candidate Listing Registration

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	3,085,442	3,184,246	0	-98,804	0	0
Annual Time Burden (Hours)	903,603	851,578	0	52,025	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: Total Burden Hours for the OPTN data collection have been updated to reflect annual data from the prior year.

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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: 10/14/2026

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