OMB control number
OPTN Ventilated Patient Forms
OMB 0906-0112 ยท HHS/HRSA.
Section 372 of the Public Health Service Act requires that the Secretary of HHS, by awards, provide for the establishment and operation of the Organ Procurement and Transplantation Network (OPTN), which, under oversight of the Health Resources and Services Administration (HRSA), operates the U.S. organ procurement and transplantation system. The Secretary/HRSA may direct the collection of data in accordance with the regulatory authority in 42 CFR 121.11 of the OPTN Final Rule. HRSA, in alignment with the Paperwork Reduction Act of 1995, submits data elements for collection to OMB for official federal approval. HRSA is submitting this new data collection, separate from OMB No. 0915-0157, since it includes new forms developed in response to an HHS Secretarial Data Directive that are not in use by OPTN. HRSA believes that separating these data collections will minimize confusion, increase clarity among OPTN members and stakeholders, and enable more direct feedback on the new forms. Both data collections include time-sensitive, life-critical data on transplant candidates and potential organ donor patients, the organ matching process, histocompatibility results, organ labeling and packaging, as well as pre- and post-transplantation data on recipients and donors. The OPTN collects these specific data elements from transplant centers.
The latest form for OPTN Ventilated Patient Forms expires 2028-12-31 and can be found here.
Array
(
[ombControlNo] => 0906-0112
[refNbr] => 202604-0906-002
[PraType] => ICR
[requestType] => No material or nonsubstantive change to a currently approved collection
[dateReceived] => 2026-04-30
[conclusionDate] => 2026-05-11
[conclusionAction] => Approved without change
[openNOA] => Approved without change
)
Error!HY000-1366-Incorrect integer value: 'Approved without change' for column 'openNOA' at row 1