View Information Collection (IC)

View Information Collection (IC)

IC Title:	OPTN- Kidney Candidate Registration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	12b	Kidney Candidate Pediatric Registration	TCR Kidney Pediatric Wksheet.pdf		Yes	Yes	Fillable Fileable
Form	12	Kidney Candidate Registration	TCR Kidney Adult Wksheet.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	33,250	0	0	33,250	0	0
Annual IC Time Burden (Hours)	9,310	0	0	9,310	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Kidney Candidate Registration Instructions	TCR Kidney Help.pdf	07/18/2007
Kidney Candidate Registration Changes	TCR All Organs Doc.pdf	07/18/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.