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 G_medical_scientific_app
Form and Instruction 1 Business_Member_app
Form and Instruction 3 Public_organ_app
Form and Instruction 4 Individual_member_app
OPTN Personnel Change Application Modified 324 3240 0 Form and Instruction 1 F_Cover_Instructions_Personnel
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 0
Form 0 0
Form and Instruction 1 A1_Full_App_Cover_Instructions
Form 4 A4_LI_LDL_combined_app
Form 2 A2_part_1_2_General_facility
Form 3 A3_KI_LDK_Combined_app
Form 5 A5_PA_app
Form 6 A6_HR_App
Form 7 A7_LU_App
Form 8 C_OPO_App
Form 9 A8_HL_App
Form 10 A9_PI_App
Form 11 A10_OPO_Inhouse
Form 13 A12_Lab_section_part_6
Instruction
Form 14 E_Lab_Independent_app
Form 15 B2_NewLDL_only_Cover_instructions
Total burden requested under this ICR: 36868 23503 0  
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