View Information Collection (IC)

View Information Collection (IC)

OPTN- Liver Follow-up
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 17 Liver Adult Post 5 year Transplant Recipient Follow Up Worksheet Liver Adult Post 5 Year Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Instruction Liver Post 5 Year Transplant Recipient Follow Up Instructions.pdf Yes No Printable Only
Instruction Liver Transplant Recipient Follow Up Instructions.pdf Yes No Printable Only
Form 17c Liver Pediatric Post 5 Year Transplant Recipient Follow Up Worksheet Liver Pediatric Post 5 Year Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Form 17b Liver Adult Transplant Recipient Follow Up Worksheet Liver_Adult_Transplant_Recipient_Follow_Up_Worksheet[1].pdf Yes Yes Fillable Fileable
Form 17d Liver Pediatric Transplant Recipient Follow Up Worksheet Liver_Pediatric_Transplant_Recipient_Follow_Up_Worksheet[1].pdf Yes Yes Fillable Fileable

Health Health Care Services

 

132 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 60,588 0 0 -6,363 0 66,951
Annual IC Time Burden (Hours) 30,294 0 0 -3,182 0 33,476
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.