Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Death Notification Referal - Eligible
Removed
0
0
0
Form
1
Death Notification Referral Eligible
Instruction
Death Notification Referral-Imminent
Removed
0
0
0
Form
1
Death Notification Referral Imminent
Instruction
Death Referral Data
Removed
0
0
0
Form
1
Death Referral Data
Instruction
Heart, Lung, Heart/Lung Follow Up (1-5 year)
New
16139
17753
0
Form and Instruction
21
Heart, Lung, Heart/Lung Follow Up (1-5 year)
Heart, Lung, Heart/Lung Follow Up (6 month)
New
3923
3138
0
Form and Instruction
20
Heart, Lung, Heart/Lung Follow Up (6 month)
Heart, Lung, Heart/Lung Follow Up (Post 5 year)
New
19485
11691
0
Form and Instruction
22
Heart, Lung, Heart/Lung Follow Up (Post 5 year)
Heart, Lung, Heart/Lung Recipient Registration
New
4471
6259
0
Form and Instruction
19
Heart, Lung, Heart/Lung Recipient Registration
Kidney/Pancreas
Modified
25029
21188
0
Form and Instruction
45
Kidney/Pancreas Candidate Registration
Form and Instruction
46
Kidney/Pancreas Recipient Registration
Form and Instruction
47
Kidney/Pancreas Recipient Follow up (6 months - 5 years)
Form and Instruction
48
Kidney/Pancreas Recipient Follow up (Post 5 years)
Liver Explant Pathology
Removed
0
0
0
Form
1
Liver Recipient Explant Pathology Worksheet
Instruction
Liver Recipient Explant Pathology Form
New
1659
995
0
Form and Instruction
28
Liver Recipient Explant Pathology Form
OPTN- Deceased Donor Registration Worksheet
Modified
9176
10093
0
Form and Instruction
1
Deceased Donor Registration
OPTN- Donor Histocompatibility
Modified
14599
2920
0
Form and Instruction
4
Donor Histocompatibility
OPTN- Heart Candidate Registration
Modified
3996
3596
0
Form and Instruction
6
Heart Transplant Candidate Registration
OPTN- Heart/Lung Candidate Registration
Modified
44
48
0
Form and Instruction
18
Heart/Lung Candidate Registration
OPTN- Intestine Candidate Registration
Modified
180
234
0
Form and Instruction
30
Intestine Candidate Registration
OPTN- Intestine Follow-up
Modified
1099
1040
0
Form and Instruction
32
Intestine Recipient Follow Up (6 months - 5 years)
Form and Instruction
33
Intestine Recipient Follow Up (Post 5 years)
OPTN- Intestine Recipient Registration
Modified
111
200
0
Form and Instruction
31
Intestine Recipient Registration
OPTN- Kidney Candidate Registration
Modified
37882
30306
0
Form and Instruction
35
Kidney Candidate Registration
OPTN- Kidney Follow-up
Modified
169200
119972
0
Form and Instruction
37
Kidney Follow-up (6 months - 5 years)
Form and Instruction
38
Kidney Follow-up (Post 5 years)
OPTN- Kidney Recipient Registration
Modified
16897
21966
0
Form and Instruction
36
Kidney Recipient Registration
OPTN- Kidney/Pancreas Registration
Removed
0
0
0
Instruction
Form
19
Kidney-Pancreas Adult Transplant Recipient Registration
Form
19b
Kidney-Pancreas Pediatric Tranplant Recipient Registration Worksheet
OPTN- Liver Candidate Registration
Modified
12050
9640
0
Form and Instruction
24
Liver Candidate Registration
OPTN- Liver Follow-up
Modified
65824
48511
0
Form and Instruction
26
Liver Recipient Follow up (6 months - 5 years)
Form and Instruction
27
Liver Recipient Follow up (Post 5 years)
OPTN- Liver Recipient Registration
Modified
6460
8398
0
Form and Instruction
25
Liver Recipient Registration
OPTN- Living Donor Registration
Modified
5979
10763
0
Form and Instruction
2
Living Donor Registration
OPTN- Lung Candidate Registration
Modified
2535
2282
0
Form and Instruction
12
Lung Candidate Registration
OPTN- Pancreas Follow-up
Removed
0
0
0
Instruction
Instruction
Form
23
Pancreas Adult Post 5 Year Transplant Recipient Follow Up Worksheet
Form
23b
Pancreas Adult Transplant Recipient Follow Up Worksheet
Form
23c
Pancreas Pediatric Post 5 Year Transplant Recipient Follow Up Worksheet
Form
23d
Pancreas Pediatric Transplant Recipient Follow Up Worksheet
OPTN- Pancreas Registration
Removed
0
0
0
Instruction
Form
22
Pancreas Adult Transplant Recipient Registration Worksheet
Form
22b
Pancreas Pediatric Transplant Recipient Registration Worksheet
OPTN- Post Transplant Malignancy
Removed
0
0
0
Instruction
Form
27
Adult Post Transplant Malignancy Worksheet
Form
27b
Pediatric Post Transplant Malignancy Worksheet
OPTN- Recipient Histocompatibility
Modified
26195
10478
0
Form and Instruction
5
Recipient Histocompatibility
OPTN- Thoracic Follow-up
Removed
0
0
0
Form
1
Thoracic Heart Adult 6 month Follow-up
Form
2
Thoracic Heart Adult Post 5 year
Form
5
Thoracic Heart Pediatric Post 5 Follow Up
Form
7
Thoracic Heart Lung Adult Six month
Form
8
Thoracic Heart Lung Adult Post 5
Form
11
Thoracic Heart Lung Pediatric Post 5
Form
13
Thoracic Lung Adult 6 month Follow UP
Form
14
Thoracic Lung Adult Post 5 Follow Up
Form
17
Thoracic Lung Pediatric Post 5
Instruction
Instruction
Instruction
Form
3
Thoracic Heart Adult Transplant Recipient Follow Up
Form
4
Thoracic Heart Pediatric 6 Month Transplant Recipient Follow Up
Form
6
Thoracic Heart Pediatric Transplant Recipient Follow Up
Form
9
Thoracic Heart Lung Adult Transplant Recipient Follow Up
Form
10
Thoracic Heart Lung Pediatric 6 Month Transplant Recipient Follow Up
Form
12
Thoracic Heart Lung Pediatric Transplant Recipient Follow Up
Form
15
Thoracic Lung Adult Transplant Recipient Follow Up
Form
16
Thoracic Lung Pediatric 6 Month Transplant Recipient Follow Up
Form
18
Thoracic Lung Pediatric Transplant Recipient Follow Up
OPTN- Thoracic Registration
Removed
0
0
0
Instruction
Form
10
Thoracic Heart Adult Transplant Recipient Registration Worksheet
Form
10b
Thoracic Heart Pediatric Transplant Recipient Registration Worksheet
Form
10c
Thoracic Heart-Lung Adult Transplant Recipient Regisration Worksheet
Form
10d
Thoracic Heart-Lung Pediatric Transplant Recipient Registration Worksheet
Form
10e
Thoracic Lung Adult Transplant Recipient Registration Worksheet
Form
10f
Thoracic Lung Pediatric Transplant Recipient Registration Worksheet
OPTN- Kidney/Pancreas Follow-up
Removed
0
0
0
Instruction
Instruction
Form
20
Kidney-Pancreas Adult Post 5 Year Transplant Recipient Follow Up Worksheet
Form
20b
Kidney-Pancreas Adult Transplant Recipient Follow Up Worksheet
Form
20c
Kidney-Pancreas Pediatric Post 5 Year Transplant Recipient Follow Up Workshseet
Form
20d
Kidney-Pancreas Pediatric Transplant Recipient Follow Up Worksheet
OPTN- Living Donor Follow-up
Modified
17612
22896
0
Form and Instruction
3
Living Donor Follow Up
Pancreas
Modified
3942
3016
0
Form and Instruction
40
Pancreas Candidate Registration
Form and Instruction
41
Pancreas Recipient Registration
Form and Instruction
42
Pancreas Recipient Follow Up (6 months - 5 years)
Form and Instruction
43
Pancreas Recipient Follow Up (Post 5 years)
Pancreas Islet Candidate Registration
Removed
0
0
0
Form
1
Pancreas Islets Adult
Form
2
Pancreas Islets Pediatric
Instruction
Post-Transplant Malignancy Form
New
7888
6307
0
Form and Instruction
11
Post-Transplant Malignancy Form
Vascular Composite Allograft
New
43
39
0
Form and Instruction
50
Vascular Composit Allograft Candidate Registration
Instruction
Form and Instruction
51
Vascular Composit Allograft Recipient Registration
Form and Instruction
52
Vascular Composit Allograft Recipient Follow Up
Total burden requested under this ICR:
472418
373729
0
To view an IC, click on IC Title