OMB control number

Data System for Organ Procurement and Transplantation Network

OMB 0915-0157 · HHS/HSA.

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 is listed under ICR 202006-0915-008.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 1 Deceased Donor Registration (DDR)	Form
Form 1 Deceased Donor Registration (DDR)	Form
Form 153 Interim Event Reporting Form	Form
Form 153 Interim Event Reporting Form	Form
Form 152 Non-US Transplants Reporting Form	Form
Form 151 Non-US Transplants Reporting Form	Form
Form 151 Non-US Transplants Reporting Form	Form
Form 150 Extra Vessels Reporting Form	Form
Form 149 Living Donor Feedback Form	Form
Form 149 Living Donor Feedback Form	Form
Form 148 Review Board Voter Form	Form
Form 147 Pediatric Lung Priority 1 Status Justification Form	Form
Form 147 Pediatric Lung Priority 1 Status Justification Form	Form
Form 146 Adult and Pediatric Lung and HeartLung Goal Exception Form	Form
Form 145 Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Form
Form 145 Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Form
Form 144 Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data	Form
Form 143 Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Form
Form 143 Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Form
Form 142 Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data	Form
Form 141 Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Form
Form 141 Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Form
Form 140 Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data	Form
Form 139 Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Form
Form 139 Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Form
Form 138 Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data	Form
Form 137 Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Form
Form 137 Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Form
Form 136 Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data	Form
Form 135 Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Form
Form 135 Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Form
Form 134 Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data	Form
Form 133 Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Form
Form 133 Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Form
Form 132 Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data	Form
Form 131 Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Form
Form 131 Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Form
Form 130 Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data	Form
Form 129 Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Form
Form 129 Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Form
Form 128 Pediatric Heart and HeartLung Status 1B Initial Justification Form	Form
Form 127 Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Form
Form 127 Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Form
Form 126 Pediatric Heart and HeartLung Status 1A Initial Justification Form	Form
Form 125 Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Form
Form 125 Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Form
Form 124 Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form	Form
Form 123 Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Form
Form 123 Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Form
Form 122 Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	Form
Form 121 Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Form
Form 121 Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Form
Form 120 Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	Form
Form 119 Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Form
Form 119 Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Form
Form 118 Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	Form
Form 117 Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Form
Form 117 Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Form
Form 116 Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form	Form
Form 115 Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Form
Form 115 Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Form
Form 114 Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	Form
Form 113 Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Form
Form 113 Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Form
Form 112 Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	Form
Form 111 Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Form
Form 111 Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Form
Form 110 Pediatric Liver Status 1B Initial Justification and Extension Form	Form
Form 109 Pediatric Liver Status 1A Initial Justification and Extension Form	Form
Form 109 Pediatric Liver Status 1A Initial Justification and Extension Form	Form
Form 108 Adult Liver Status 1A Initial Justification and Extension Form	Form
Form 107 Kidney Minimum Acceptance Criteria	Form
Form 107 Kidney Minimum Acceptance Criteria	Form
Form 106 Prior Living Donor Priority	Form
Form 105 Intestinal Waiting Time Reinstatement Form	Form
Form 105 Intestinal Waiting Time Reinstatement Form	Form
Form 104 OPTN Pancreas Waiting Time Reinstatement Form	Form
Form 103 Renal Waiting Time Reinstatement Form	Form
Form 103 OPTN Renal Waiting Time Reinstatement Form	Form
Form 102 OPTN Waiting Time Modification Form	Form
Form 101 OPTN Waiting Time Transfer Form	Form
Form 101 OPTN Waiting Time Transfer Form	Form
Form 100 Organ Export Verification Form	Form
Form 100 Organ Export Verification Form	Form
Form 99 VCA Vascularized Gland Candidate Listing Registration	Form
Form 98 VCA Uterus Candidate Listing Registration	Form
Form 98 VCA Uterus Candidate Listing Registration	Form
Form 97 VCA Upper Limb Candidate Listing Registration	Form
Form 96 VCA Spleen Candidate Listing Registration	Form
Form 96 VCA Spleen Candidate Listing Registration	Form
Form 95 VCA Other Genitourinary Organ Candidate Listing Registration	Form
Form 94 VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Form
Form 94 VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Form
Form 93 VCA Lower Limb Candidate Listing Registration	Form
Form 92 VCA Head and Neck Candidate Listing Registration	Form
Form 92 VCA Head and Neck Candidate Listing Registration	Form
Form 91 VCA Head and Neck Candidate Listing Registration	Form
Form 91 VCA External Male Genitalia Candidate Listing Registration	Form
Form 90 VCA Abdominal Wall Candidate Listing Registration	Form
Form 89 Candidate Registration Listing Removal	Form
Form 89 Candidate Registration Listing Removal	Form
Form 88 Pediatric Lung Candidate Listing Registration	Form
Form 87 Adult Lung Candidate Listing Registration	Form
Form 87 Adult Lung Candidate Listing Registration	Form
Form 86 Pediatric HeartLung Candidate Listing Registration	Form
Form 85 Adult HeartLung Candidate Listing Registration	Form
Form 85 Adult HeartLung Candidate Listing Registration	Form
Form 84 Pediatric Heart Candidate Listing Registration	Form
Form 83 Adult Heart Candidate Listing Registration	Form
Form 82 Pediatric Intestine Candidate Listing Registration	Form
Form 82 Pediatric Intestine Candidate Listing Registration	Form
Form 81 Adult Intestine Candidate Listing Registration	Form
Form 80 Pediatric Liver Candidate Listing Registration	Form
Form 80 Pediatric Liver Candidate Listing Registration	Form
Form 79 Adult Liver Candidate Listing Registration	Form
Form 78 Pediatric Pancreas Islet Listing Registration	Form
Form 78 Pediatric Pancreas Islet Listing Registration	Form
Form 77 Adult Pancreas Islet Listing Registration	Form
Form 76 Pediatric Pancreas Candidate Listing Registration	Form
Form 76 Pediatric Pancreas Candidate Listing Registration	Form
Form 75 Adult Pancreas Candidate Listing Registration	Form
Form 74 Pediatric Kidney Pancreas Candidate Listing Registration	Form
Form 74 Pediatric Kidney Pancreas Candidate Listing Registration	Form
Form 73 Adult Kidney Pancreas Candidate Listing Registration	Form
Form 72 Pediatric Kidney Candidate Listing Registration Form	Form
Form 72 Pediatric Kidney Candidate Listing Registration	Form
Form 71 Adult Kidney Candidate Listing Registration	Form
Form 71 Adult Kidney Candidate Listing Registration	Form
Form 70 Transplant Center Contact Management	Form
Form 69 Donor Organ Disposition	Form
Form 68 Donor Hospital Registration	Form
Form 67 Deceased Donor Death Referral	Form
Form 66 Death Notification Registration	Form
Form 65 Potential Transplant Recipient	Form
Form 64 OPO Notification Limit Administration	Form
Form 63 Initial Donor Registration	Form
Form 62 Request to Unlock Form_Form.xlsx	Form
Form 61 Potential Disease Transmission Report_Form.xlsx	Form
Form 60 Safety Situation_Form.xlsx	Form
Form 59 Living Donor Event_Form.xlsx	Form
Form 58 Disease Transmission Event_Form.xlsx	Form
Form 57 Kidney Paired Donation Match Offer Management_Form.xlsx	Form
Form 56 Kidney Paired Donation Donor Registration_Form_clean.xlsx	Form
Form 55 Kidney Paired Donation Candidate Registration_Form_clean.xlsx	Form
Form 54 Organ Tracking and Validating_Form.xlsx	Form
Form 53 Organ Labeling and Packaging_Form.xlsx	Form
Form 52 VCA Transplant Recipient Follow Up_Form_clean.xlsx	Form
Form 51 VCA Transplant Recipient Registration_Form_clean.xlsx	Form
Form 49 Kidney/Pancreas Post Transplant Malignancy_Form.xlsx	Form
Form 48 Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx	Form
Form 47 Kidney/Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form
Form 46 Kidney/Pancreas Transplant Recipient Registration_Form_clean.xlsx	Form
Form 44 Pancreas Post Transplant Malignancy_Form.xlsx	Form
Form 43 Pancreas Transplant Recipient Follow Up Post 5 Year_ Form_clean.xlsx	Form
Form 42 Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form
Form 41 Pancreas Transplant Recipient Registration_Form_clean.xlsx	Form
Form 39 Kidney Post Transplant Malignancy_Form.xlsx	Form
Form 38 Kidney Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx	Form
Form 34 Intestine Post Transplant Malignancy_Form.xlsx	Form
Form 33 Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx	Form
Form 29 Liver Post Transplant Malignancy_Form.xlsx	Form
Form 27 Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx	Form
Form 23 HeartLung Post Transplant Malignancy_Form.xlsx	Form
Form 17 Lung Post Transplant Malignancy_Form.xlsx	Form
Form 16 Lung Transplant Recipient Follow Up Post 5 Year_Form	Form
Form 15 Lung Transplant Recipient Follow Up 1_5 Year_Form	Form
Form 14 Lung Transplant Recipient Follow Up 6 Month_Form.xlsx	Form
Form 13 Lung Transplant Recipient Registration_Form_clean.xlsx	Form
Form 11 Heart Post Transplant Malignancy_Form.xlsx	Form
Form 10 Heart Transplant Recipient Follow Up Post 5 Year_Form_Clean.xlsx	Form
Form 9 Heart Transplant Recipient Follow Up 1_5 Year _Form_Clean.xlsx	Form
Form 8 Heart Transplant Recipient Follow Up 6 Month_Form.xlsx	Form
Form 7 Heart Transplant Recipient Registration_Form_clean.xlsx	Form
Form 50 VCA Transplant Candidate Registration_Form.xlsx	Form
Form 28 Liver Explant Pathology Form.xlsx	Form
Form 22 Heart/Lung Transplant Recipient Follow Up Post 5 Year_Form.xlsx	Form
Form 21 Heart/Lung Transplant Recipient Follow Up 1_5 Year_Form.xlsx	Form
Form 20 Heart/Lung Transplant Recipient Follow Up 6 Month_Form.xlsx	Form
Form 19 Heart/Lung Transplant Recipient Registration_Form_clean.xlsx	Form
Form 32 Intestine Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form
Form 31 Intestine Transplant Recipient Registration_Form_clean.xlsx	Form
Form 30 Intestine Transplant Candidate Registration_Form_clean.xlsx	Form
Form 40 Pancreas Transplant Candidate Registration_Form_clean.xlsx	Form
Form 45 Kidney/Pancreas Transplant Candidate Registration_Form_clean.xlsx	Form
Form 26 Liver Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form
Form 25 Liver Transplant Recipient Registration_Form_clean.xlsx	Form
Form 24 Liver Transplant Candidate Registration_Form.xlsx	Form
Form 37 Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx	Form
Form 36 Kidney Transplant Recipient Registration_Form_clean.xlsx	Form
Form 35 Kidney Transplant Candidate Registration_Form_clean.xlsx	Form
Form 18 Heart/Lung Transplant Candidate Registration_Form_clean.xlsx	Form
Form 12 Lung Transplant Candidate Registration_Form	Form
Form 6 Heart Transplant Candidate Registration_Form_clean.xlsx	Form
Form 5 Recipient Histocompatibility_Form._Clean.xlsx	Form
Form 4 Donor Histocompatibility_Form.xlsx	Form
Form 3 Living Donor Follow-Up Form	Form
Form 3 Living Donor Follow-up (LDF)	Form
Form 2 Living Donor Registration Form	Form
Comment 6_Besser Transmittal 1.2.25.pdf	Public Comments
Comment 6_Besser 1.2.25.pdf (document unavailable)	Public Comments
Comment 5_Cardenas 11.14.24.pdf	Public Comments
Comment 4_Lawson Transmittal 12.30.24.pdf	Public Comments
Comment 4_Lawson 12.30.24.pdf (document unavailable)	Public Comments
Comment 3_Olsen 11.21.24.pdf	Public Comments
Comment 2_Braly_Transmittal 12.31.24.pdf	Public Comments
Comment 2_Braly 12.31.24.pdf	Public Comments
Comment 1_Lester_Transmittal 12.20.24.pdf	Public Comments
Comment 1_Lester 12.20.24.pdf	Public Comments
Privacy Act Statement - OPTN 0915-0157 Revision 06.25.2025.docx	Supplementary Document
Burden Statement - OPTN 0915-0157 Revision CLEAN 06.25.2025.docx	Supplementary Document
Burden Statement - OPTN 0915-0157 Revision CLEAN 06.25.2025.docx	Supplementary Document
Supporting Statement A - OPTN Data System 0915-0157 Revision _08.20.25 - CLEAN.docx	Supporting Statement A
Supporting Statement A - OPTN Data System 0915-0157 Revision 06.25.2025.docx	Supporting Statement A
Deceased Donor Registration (DDR)	Form
Deceased Donor Registration (DDR)	Form
Deceased Donor Registration (DDR)	Other-Redline
Interim Event Reporting Form	Form
Interim Event Reporting Form	Form
Interim Event Reporting Form	Instruction
Discrepant HLA Typings Reporting Form	Form
Discrepant HLA Typings Reporting Form	Instruction
Non-US Transplants Reporting Form	Form
Non-US Transplants Reporting Form	Form
Non-US Transplants Reporting Form	Instruction
Extra Vessels Reporting Form	Form
Extra Vessels Reporting Form	Instruction
Living Donor Feedback Form	Form
Living Donor Feedback Form	Form
Living Donor Feedback Form	Instruction
Review Board Voter Form	Form
Review Board Voter Form	Instruction
Pediatric Lung Priority 1 Status Justification Form	Form
Pediatric Lung Priority 1 Status Justification Form	Form
Pediatric Lung Priority 1 Status Justification Form	Instruction
Adult and Pediatric Lung and HeartLung Goal Exception Form	Form
Adult and Pediatric Lung and HeartLung Goal Exception Form	Instruction
Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Form
Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data	Instruction
Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data	Form
Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data	Instruction
Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Form
Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Form
Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data	Instruction
Pediatric Heart and HeartLung Status 1B Initial Justification Form	Form
Pediatric Heart and HeartLung Status 1B Initial Justification Form	Instruction
Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Form
Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Form
Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms	Instruction
Pediatric Heart and HeartLung Status 1A Initial Justification Form	Form
Pediatric Heart and HeartLung Status 1A Initial Justification Form	Instruction
Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Form
Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Form
Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form	Instruction
Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form	Form
Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form	Instruction
Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Form
Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Form
Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form	Instruction
Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	Form
Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form	Instruction
Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Form
Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Form
Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form	Instruction
Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	Form
Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form	Instruction
Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Form
Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Form
Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form	Instruction
Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	Form
Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form	Instruction
Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Form
Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Form
Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form	Instruction
Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form	Form
Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form	Instruction
Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Form
Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Form
Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form	Instruction
Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	Form
Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form	Instruction
Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Form
Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Form
Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form	Instruction
Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	Form
Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form	Instruction
Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Form
Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Form
Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form	Instruction
Pediatric Liver Status 1B Initial Justification and Extension Form	Form
Pediatric Liver Status 1B Initial Justification and Extension Form	Instruction
Pediatric Liver Status 1A Initial Justification and Extension Form	Form
Pediatric Liver Status 1A Initial Justification and Extension Form	Form
Pediatric Liver Status 1A Initial Justification and Extension Form	Instruction
Adult Liver Status 1A Initial Justification and Extension Form	Form
Adult Liver Status 1A Initial Justification and Extension Form	Instruction
Kidney Minimum Acceptance Criteria	Form
Kidney Minimum Acceptance Criteria	Form
Kidney Minimum Acceptance Criteria	Instruction
Prior Living Donor Priority	Form
Prior Living Donor Priority	Instruction
Intestinal Waiting Time Reinstatement Form	Form
Intestinal Waiting Time Reinstatement Form	Form
Intestinal Waiting Time Reinstatement Form	Instruction
OPTN Pancreas Waiting Time Reinstatement Form	Form
OPTN Pancreas Waiting Time Reinstatement Form	Instruction
OPTN Renal Waiting Time Reinstatement Form	Form
OPTN Renal Waiting Time Reinstatement Form	Form
OPTN Renal Waiting Time Reinstatement Form	Instruction
OPTN Waiting Time Modification Form	Form
OPTN Waiting Time Modification Form	Instruction
OPTN Waiting Time Transfer Form	Form
OPTN Waiting Time Transfer Form	Form
OPTN Waiting Time Transfer Form	Instruction
Organ Export Verification Form	Form
Organ Export Verification Form	Form
Organ Export Verification Form	Instruction
VCA Vascularized Gland Candidate Listing Registration	Form
VCA Vascularized Gland Candidate Listing Registration	Instruction
VCA Uterus Candidate Listing Registration	Form
VCA Uterus Candidate Listing Registration	Form
VCA Uterus Candidate Listing Registration	Instruction
VCA Upper Limb Candidate Listing Registration	Form
VCA Upper Limb Candidate Listing Registration	Instruction
VCA Spleen Candidate Listing Registration	Form
VCA Spleen Candidate Listing Registration	Form
VCA Spleen Candidate Listing Registration	Instruction
VCA Other Genitourinary Organ Candidate Listing Registration	Form
VCA Other Genitourinary Organ Candidate Listing Registration	Instruction
VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Form
VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Form
VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration	Instruction
VCA Lower Limb Candidate Listing Registration	Form
VCA Lower Limb Candidate Listing Registration	Instruction
VCA Head and Neck Candidate Listing Registration	Form
VCA Head and Neck Candidate Listing Registration	Form
VCA Head and Neck Candidate Listing Registration	Instruction
VCA External Male Genitalia Candidate Listing Registration	Form
VCA External Male Genitalia Candidate Listing Registration	Form
VCA External Male Genitalia Candidate Listing Registration	Instruction
VCA Abdominal Wall Candidate Listing Registration	Form
VCA Abdominal Wall Candidate Listing Registration	Instruction
Candidate Registration Listing Removal	Form
Candidate Registration Listing Removal	Form
Candidate Registration Listing Removal	Instruction
Pediatric Lung Candidate Listing Registration	Form
Pediatric Lung Candidate Listing Registration	Instruction
Adult Lung Candidate Listing Registration	Form
Adult Lung Candidate Listing Registration	Form
Adult Lung Candidate Listing Registration	Instruction
Pediatric HeartLung Candidate Listing Registration	Form
Pediatric HeartLung Candidate Listing Registration	Instruction
Adult HeartLung Candidate Listing Registration	Form
Adult HeartLung Candidate Listing Registration	Form
Adult HeartLung Candidate Listing Registration	Instruction
Pediatric Heart Candidate Listing Registration	Form
Pediatric Heart Candidate Listing Registration	Instruction
Adult Heart Candidate Listing Registration	Form
Adult Heart Candidate Listing Registration	Instruction
Pediatric Intestine Candidate Listing Registration	Form
Pediatric Intestine Candidate Listing Registration	Form
Pediatric Intestine Candidate Listing Registration	Instruction
Adult Intestine Candidate Listing Registration	Form
Adult Intestine Candidate Listing Registration	Instruction
Pediatric Liver Candidate Listing Registration	Form
Pediatric Liver Candidate Listing Registration	Form
Pediatric Liver Candidate Listing Registration	Instruction
Adult Liver Candidate Listing Registration	Form
Adult Liver Candidate Listing Registration	Instruction
Pediatric Pancreas Islet Listing Registration	Form
Pediatric Pancreas Islet Listing Registration	Form
Pediatric Pancreas Islet Listing Registration	Instruction
Adult Pancreas Islet Listing Registration	Form
Adult Pancreas Islet Listing Registration	Instruction
Pediatric Pancreas Candidate Listing Registration	Form
Pediatric Pancreas Candidate Listing Registration	Form
Pediatric Pancreas Candidate Listing Registration	Instruction
Adult Pancreas Candidate Listing Registration	Form
Adult Pancreas Candidate Listing Registration	Instruction
Pediatric Kidney Pancreas Candidate Listing Registration	Form
Pediatric Kidney Pancreas Candidate Listing Registration	Form
Pediatric Kidney Pancreas Candidate Listing Registration	Instruction
Adult Kidney Pancreas Candidate Listing Registration	Form
Adult Kidney Pancreas Candidate Listing Registration	Instruction
Pediatric Kidney Candidate Listing Registration	Form
Pediatric Kidney Candidate Listing Registration	Form
Pediatric Kidney Candidate Listing Registration	Instruction
Adult Kidney Candidate Listing Registration	Form
Adult Kidney Candidate Listing Registration	Form
Adult Kidney Candidate Listing Registration	Instruction
Transplant Center Contact Management	Form
Transplant Center Contact Management	Instruction
Donor Organ Disposition	Form
Donor Organ Disposition	Instruction
Donor Hospital Registration	Form
Donor Hospital Registration	Instruction
Deceased Donor Death Referral	Form
Deceased Donor Death Referral	Instruction
Death Notification Registration	Form
Death Notification Registration	Instruction
Potential Transplant Recipient	Form
Potential Transplant Recipient	Instruction
OPO Notification Limit Administration	Form
OPO Notification Limit Administration	Instruction
Initial Donor Registration	Form
Initial Donor Registration	Instruction
Request to Unlock Form	Form
Request to Unlock Form	Instruction
Potential Disease Transmission Report	Form
Potential Disease Transmission Report	Instruction
Safety Situation	Form
Safety Situation	Instruction
Living Donor Event	Form
Living Donor Event	Instruction
Disease Transmission Event	Form
Disease Transmission Event	Instruction
Kidney Paired Donation Match Offer Management	Form
Kidney Paired Donation Match Offer Management	Instruction
Kidney Paired Donation Donor Registration	Form
Kidney Paired Donation Donor Registration	Instruction
Kidney Paired Donation Candidate Registration	Form
Kidney Paired Donation Candidate Registration	Instruction
Organ Tracking and Validating System	Form
Organ Tracking and Validating System	Instruction
Organ Labeling and Packaging System	Form
Organ Labeling and Packaging System	Instruction
VCA Transplant Recipient Follow Up (TRF)	Form
VCA Transplant Recipient Follow Up (TRF)	Instruction
VCA Transplant Recipient Registration (TRR)	Form
VCA Transplant Recipient Registration (TRR)	Instruction
Kidney/Pancreas Post Transplant Malignancy (PTM) Form	Form
Kidney/Pancreas Post Transplant Malignancy (PTM) Form	Instruction
Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	Form
Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction
Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Form
Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Instruction
Kidney/Pancreas Transplant Recipient Registration (TRR)	Form
Kidney/Pancreas Transplant Recipient Registration (TRR)	Instruction
Pancreas Post Transplant Malignancy (PTM) Form	Form
Pancreas Post Transplant Malignancy (PTM) Form	Instruction
Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	Form
Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction
Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Form
Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Instruction
Pancreas Transplant Recipient Registration (TRR)	Form
Pancreas Transplant Recipient Registration (TRR)	Instruction
Kidney Post Transplant Malignancy (PTM) Form	Form
Kidney Post Transplant Malignancy (PTM) Form	Instruction
Kidney Transplant Recipient Follow Up Post 5 Year (TRF)	Form
Kidney Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction
Intestine Post Transplant Malignancy (PTM) Form	Form
Intestine Post Transplant Malignancy (PTM) Form	Instruction
Intestine Transplant Recipient Follow Up Post 5 Year (TRF)	Form
Intestine Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction
Liver Post Transplant Malignancy (PTM) Form	Form
Liver Post Transplant Malignancy (PTM) Form	Instruction
Liver Transplant Recipient Follow Up Post 5 Year (TRF)	Form
Liver Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction
Heart/Lung Post Transplant Malignancy (PTM) Form	Form
Heart/Lung Post Transplant Malignancy (PTM) Form	Instruction
Lung - Post Transplant Malignancy (PTM) Form	Form
Lung - Post Transplant Malignancy (PTM) Form	Instruction
Lung Transplant Recipient Follow Up Post 5 Year (TRF)	Form
Lung Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction
Lung Transplant Recipient Follow Up 1-5 Year (TRF)	Form
Lung Transplant Recipient Follow Up 1-5 Year (TRF)	Instruction
Lung Transplant Recipient Follow Up 6 Month (TRF)	Form
Lung Transplant Recipient Follow Up 6 Month (TRF)	Instruction
Lung Transplant Recipient Registration (TRR)	Form
Lung Transplant Recipient Registration (TRR)	Instruction
Heart Post-Transplant Malignancy Form	Form
Heart Post-Transplant Malignancy Form	Instruction
Heart Transplant Recipient Follow Up Post 5 Year	Form
Heart Transplant Recipient Follow Up Post 5 Year	Instruction
Heart Transplant Recipient Follow Up 1-5 Year	Form
Heart Transplant Recipient Follow Up 1-5 Year	Instruction
Heart Transplant Recipient Follow Up (6 months)	Form
Heart Transplant Recipient Follow Up (6 months)	Instruction
Heart Transplant Recipient Registration (TRR)	Form
Heart Transplant Recipient Registration (TRR)	Instruction
VCA Transplant Candidate Registration (TCR)	Form
VCA Transplant Candidate Registration (TCR)	Instruction
Liver Recipient Explant Pathology Form	Form
Liver Recipient Explant Pathology Form	Instruction
Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF)	Form
Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF)	Instruction
Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF)	Form
Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF)	Instruction
Heart/Lung Transplant Recipient Follow Up 6 Month (TRF)	Form
Heart/Lung Transplant Recipient Follow Up 6 Month (TRF)	Instruction
Heart/Lung Recipient Registration	Form
Heart/Lung Recipient Registration	Instruction
Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Form
Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Instruction
Intestine Transplant Recipient Registration (TRR)	Form
Intestine Transplant Recipient Registration (TRR)	Instruction
Intestine Transplant Candidate Registration (TCR)	Form
Intestine Transplant Candidate Registration (TCR)	Instruction
Pancreas Transplant Candidate Registration (TCR)	Form
Pancreas Transplant Candidate Registration (TCR)	Instruction
Kidney/Pancreas Transplant Candidate Registration (TCR)	Form
Kidney/Pancreas Transplant Candidate Registration (TCR)	Instruction
Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Form
Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Instruction
Liver Transplant Recipient Registration (TRR)	Form
Liver Transplant Recipient Registration (TRR)	Instruction
Liver Transplant Candidate Registration (TCR)	Form
Liver Transplant Candidate Registration (TCR)	Instruction
Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Form
Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF)	Instruction
Kidney Transplant Recipient Registration (TRR)	Form
Kidney Transplant Recipient Registration (TRR)	Instruction
Kidney Transplant Candidate Registration (TCR)	Form
Kidney Transplant Candidate Registration (TCR)	Instruction
Heart/Lung Transplant Candidate Registration (TCR)	Form
Heart/Lung Transplant Candidate Registration (TCR)	Instruction
Lung Transplant Candidate Registration (TCR)	Form
Lung Transplant Candidate Registration (TCR)	Instruction
Heart Transplant Candidate Registration (TCR)	Form
Heart Transplant Candidate Registration (TCR)	Instruction
Recipient Histocompatibility Form	Form
Recipient Histocompatibility Form	Instruction
Donor Histocompatibility Form	Form
Donor Histocompatibility Form	Instruction
Living Donor Follow-up (LDF)	Form
Living Donor Follow-up (LDF)	Form
Living Donor Follow-up (LDF)	Other-Redline
Living Donor Registration (LDR)	Form
Living Donor Registration (LDR)	Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202506-0915-004	Revision of a currently approved collection	2025-07-02
202306-0915-003	Revision of a currently approved collection	2023-06-27	Approved without change
202202-0915-002	Revision of a currently approved collection	2022-02-17	Approved without change
202006-0915-008	Extension without change of a currently approved collection	2020-07-01	Approved without change
201906-0915-001	No material or nonsubstantive change to a currently approved collection	2019-06-04	Withdrawn and continue
201905-0915-005	No material or nonsubstantive change to a currently approved collection	2019-05-23	Approved without change
201704-0915-007	Revision of a currently approved collection	2017-04-21	Approved without change
201411-0915-004	Revision of a currently approved collection	2014-12-16	Approved with change
201202-0915-001	Revision of a currently approved collection	2012-02-17	Approved with change
201010-0915-001	Extension without change of a currently approved collection	2010-10-12	Approved without change
200708-0915-004	Extension without change of a currently approved collection	2007-08-21	Approved without change
200403-0915-001	Revision of a currently approved collection	2004-03-17	Approved with change
200210-0915-003	Revision of a currently approved collection	2002-10-04	Approved with change
199909-0915-001	Revision of a currently approved collection	1999-09-27	Approved without change
199809-0915-009	No material or nonsubstantive change to a currently approved collection	1998-09-15	Approved without change
199608-0915-001	Revision of a currently approved collection	1996-08-16	Approved without change
199306-0915-001	Revision of a currently approved collection	1993-06-07	Approved without change
199303-0915-006	No material or nonsubstantive change to a currently approved collection	1993-03-22	Approved with change
199112-0915-003	New collection (Request for a new OMB Control Number)	1991-12-20	Approved without change

OMB Details

Deceased Donor Registration (DDR)

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
Form	Name	Electronic access	Type
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.