Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
OPTN Appeal for Designation Modified 2 12 0
OPTN Appeal for Membership Modified 2 6 0
OPTN Designated Transplant Program Requirements Modified 10 50 0
OPTN Non-Institutional Application Modified 20 200 0 Form and Instruction 2
Form and Instruction 1
Form and Instruction 3
Form and Instruction 4
OPTN Personnel Change Application Modified 324 3240 0 Form and Instruction 1
OPTN Reasons for Refusal Modified 34200 17100 0
OPTN Transplant to Prevent Organ Wastage Modified 390 195 0
OPTN criteria reporting and disclosure Modified 1800 900 0
Organ Procurement and Transplantation Network Application Modified 120 1800 0 Form 0
Form 0
Form and Instruction 1
Form 4
Form 2
Form 3
Form 5
Form 6
Form 7
Form 8
Form 9
Form 10
Form 11
Form 13
Instruction
Form 14
Form 15
Total burden requested under this ICR: 36868 23503 0  
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