Data System for Organ Procurement and Transplantation Network

OMB 0915-0157

These forms, which collect data on donors and potential transplant recipients, and the information gathered from the forms, are needed to enable the OPTN to operate a computerized matching system to facilitate matching organs from donors to those who are in need of organs based on medical criteria. In addition, the OPTN shares this data with the Scientific Registry of Transplant Recipients (SRTR) to enable the SRTR to provide statistical and analytic support for the OPTN Board of Directors and committees, HRSA, and the Department of Health and Human Services (HHS) Advisory Committee on Organ Transplantation (ACOT). Respondents include transplant hospitals, organ procurement organizations, and histocompatibility laboratories.

The latest form for Data System for Organ Procurement and Transplantation Network expires 2023-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
05192023 - Supporting Statement - 30 day FRN 0915 0157 - Revision - 040620235002.docx Supporting Statement A
Deceased Donor Registration (DDR) Instruction
Transplant Center Contact Management Instruction
Donor Organ Disposition Instruction
Donor Hospital Registration Instruction
Deceased Donor Death Referral Instruction
Death Notification Registration Instruction
Potential Transplant Recipient Instruction
OPO Notification Limit Administration Instruction
Initial Donor Registration Instruction
Request to Unlock Form Instruction
Potential Disease Transmission Report Instruction
Safety Situation Instruction
Living Donor Event Instruction
Disease Transmission Event Instruction
Kidney Paired Donation Match Offer Management Instruction
Kidney Paired Donation Donor Registration Instruction
Kidney Paired Donation Candidate Registration Instruction
Organ Tracking and Validating System Instruction
Organ Labeling and Packaging System Instruction
VCA Transplant Recipient Follow Up (TRF) Instruction
VCA Transplant Recipient Registration (TRR) Instruction
Kidney/Pancreas Post Transplant Malignancy (PTM) Form Instruction
Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF) Instruction
Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF) Instruction
Kidney/Pancreas Transplant Recipient Registration (TRR) Instruction
Pancreas Post Transplant Malignancy (PTM) Form Instruction
Pancreas Transplant Recipient Follow Up Post 5 Year (TRF) Instruction
Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF) Instruction
Pancreas Transplant Recipient Registration (TRR) Instruction
Kidney Post Transplant Malignancy (PTM) Form Instruction
Kidney Transplant Recipient Follow Up Post 5 Year (TRF) Instruction
Intestine Post Transplant Malignancy (PTM) Form Instruction
Intestine Transplant Recipient Follow Up Post 5 Year (TRF) Instruction
Liver Post Transplant Malignancy (PTM) Form Instruction
Liver Transplant Recipient Follow Up Post 5 Year (TRF) Instruction
Heart/Lung Post Transplant Malignancy (PTM) Form Instruction
Lung - Post Transplant Malignancy (PTM) Form Instruction
Lung Transplant Recipient Follow Up Post 5 Year (TRF) Instruction
Lung Transplant Recipient Follow Up 1-5 Year (TRF) Instruction
Lung Transplant Recipient Follow Up 6 Month (TRF) Instruction
Lung Transplant Recipient Registration (TRR) Instruction
Heart Post-Transplant Malignancy Form Instruction
Heart Transplant Recipient Follow Up Post 5 Year Instruction
Heart Transplant Recipient Follow Up 1-5 Year Instruction
Heart Follow Up (6 months) Instruction
Heart Recepient Registration Instruction
VCA Transplant Candidate Registration (TCR) Instruction
Liver Recipient Explant Pathology Form Instruction
Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF) Instruction
Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF) Instruction
Heart/Lung Transplant Recipient Follow Up 6 Month (TRF) Instruction
Heart/Lung Recipient Registration Instruction
Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF) Instruction
Intestine Transplant Recipient Registration (TRR) Instruction
Intestine Transplant Candidate Registration (TCR) Instruction
Pancreas Transplant Candidate Registration (TCR) Instruction
Kidney/Pancreas Transplant Candidate Registration (TCR) Instruction
Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF) Instruction
Liver Transplant Recipient Registration (TRR) Instruction
Liver Transplant Candidate Registration (TCR) Instruction
Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF) Instruction
Kidney Transplant Recipient Registration (TRR) Instruction
Kidney Transplant Candidate Registration (TCR) Instruction
Heart/Lung Transplant Candidate Registration (TCR) Instruction
Lung Transplant Candidate Registration (TCR) Instruction
Heart Transplant Candidate Registration (TCR) Instruction
Recipient Histocompatibility Form Instruction
Donor Histocompatibility Form Instruction
Living Donor Follow-up (LDF) Instruction
Living Donor Registration (LDR) Instruction

All Historical Document Collections

202306-0915-003 Approved without change	Revision of a currently approved collection	2023-06-27
202202-0915-002 Approved without change	Revision of a currently approved collection	2022-02-17
202006-0915-008 Approved without change	Extension without change of a currently approved collection	2020-07-01
201906-0915-001 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2019-06-04
201905-0915-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-05-23
201704-0915-007 Approved without change	Revision of a currently approved collection	2017-04-21
201411-0915-004 Approved with change	Revision of a currently approved collection	2014-12-16
201202-0915-001 Approved with change	Revision of a currently approved collection	2012-02-17
201010-0915-001 Approved without change	Extension without change of a currently approved collection	2010-10-12
200708-0915-004 Approved without change	Extension without change of a currently approved collection	2007-08-21
200403-0915-001 Approved with change	Revision of a currently approved collection	2004-03-17
200210-0915-003 Approved with change	Revision of a currently approved collection	2002-10-04
199909-0915-001 Approved without change	Revision of a currently approved collection	1999-09-27
199809-0915-009 Approved without change	No material or nonsubstantive change to a currently approved collection	1998-09-15
199608-0915-001 Approved without change	Revision of a currently approved collection	1996-08-16
199306-0915-001 Approved without change	Revision of a currently approved collection	1993-06-07
199303-0915-006 Approved with change	No material or nonsubstantive change to a currently approved collection	1993-03-22
199112-0915-003 Approved without change	New collection (Request for a new OMB Control Number)	1991-12-20

OMB Details

Deceased Donor Registration (DDR)

Federal Enterprise Architecture: Health - Health Care Services

Form 1

Deceased Donor Registration Form.CLEAN.xlsx

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.