Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
A New Transplant Hospital Program Application - General New 2 16 0 Form and Instruction A1 A1_NewTransplantHospital_Cover_HRSA.doc
Form and Instruction A2 A2_NewTransplant_General_Clean.doc
Form and Instruction B1 B1_NewTransplantProgram_Cover_Clean_HRSA.doc
Form and Instruction B2 B2 VCA_NewTransplantProgram_Cover_HRSA.doc
B Heart (HR) Designated Program Application New 184 736 0 Form and Instruction B6 B6_HR Heart_Clean.doc
B Intestine Designated Program Application New 80 240 0 Form and Instruction B17 B17 Intestine_HRSA.doc
B Islet (PI) Designated Program Application New 4 12 0 Form and Instruction B8 B8_PI PancreasIslet_Clean.doc
B Kidney (KI) Designated Program Application New 236 944 0 Form and Instruction B3 B3_Kidney_LDKidney_Clean.doc
B Liver (LI) Designated Program Application New 118 472 0 Form and Instruction B4 B4_L1 Liver_LDLiver_Clean.doc
B Living Donor (LD) Recovery Program Application New 84 252 0 Form and Instruction B9 B9_LD NewLivingDonorRecoveries_Clean.doc
B Lung (LU) Designated Program Application New 60 240 0 Form and Instruction B7 B7_LU Lung_Clean.doc
B Pancreas (PA) Designated Program Application New 120 480 0 Form and Instruction B5 B5_PA Pancreas_Clean.doc
B VCA Abdominal Wall Designated Program Application New 26 78 0 Form and Instruction B12 B12 VCA_AW_Kidney_Updated.doc
Form and Instruction B13 B13 VCA_AW_Liver_Updated.doc
Form and Instruction B14 B14 _VCA_AW_Pancreas_Updated.doc
Form and Instruction B15 B15 VCA_AW_Intestine_Updated.doc
B VCA Head and Neck Designated Program Application New 28 84 0 Form and Instruction B10 B VCA_Head and Neck_Updated.doc
B VCA Other Designated Program Application New 18 36 0 Form and Instruction B16 a B16 a VCA_Other_Updated.doc
Form and Instruction B16 b B16 b VCA_Other_NewTransplantProgram_Cover_HRSA.doc_.doc
Form and Instruction B16 c B16 c VCA_Other_PersonnelChange_Cover_HRSA.doc_.doc
B VCA Upper Limb Designated Program Application New 34 102 0 Form and Instruction B11 B VCA_Upper Limb_Updated.doc
C OPO New Application New 1 4 0 Form and Instruction C C_OPO_New_final_Clean_HRSA.doc
D Histocompatibility Lab Application New 6 24 0 Form and Instruction D D_HistoLab_New_Clean_HRSA.doc
E Personnel Change Cover Application New 790 3160 0 Form and Instruction F F_HistoLab_PersonnelChange_Clean_HRSA.doc
F Change in Histocompatibility Lab Director New 50 100 0 Form and Instruction F F_HistoLab_PersonnelChange_Clean_HRSA.doc
G Change in OPO Key Personnel New 10 10 0 Form and Instruction G G_OPO_DirectorChange_final_clean_HRSA.doc
H Medical Scientific Org Application New 7 14 0 Form and Instruction H H_MedicalScientific_Clean_HRSA.doc
I Public Org Application New 4 8 0 Form and Instruction I I_PublicOrg_Clean_HRSA.doc
J Business Member Application New 2 4 0 Form and Instruction j J_Business_Clean_HRSA.doc
K Individual Member Application New 4 4 0 Form and Instruction K K_Individual_Clean_HRSA.doc
OPTN Non-Institutional Application Removed 0 0 0 Form and Instruction H Application for Medical/Scientific Organization Membership
Form and Instruction I Application for Public Organization Membership
Form and Instruction J Application for Business Membership
Form and Instruction K Application for Individual Membership
OPTN Personnel Change Application Removed 0 0 0 Form and Instruction E Personnel Change Application (Transplant Program)
Form and Instruction F Change in Key Personnel Application - Histocompatibility Laboratory
Form and Instruction G Application for Approval for Change in Key Personnel - OPO
Organ Procurement and Transplantation Network Application Removed 0 0 0 Form and Instruction D Histocompatibility Laboratory Membership Application
Form and Instruction C Application for Organ Procurement (OPO) Membership
Form and Instruction A1 A1
Form and Instruction B1 B1
Form and Instruction A2 A2
Form and Instruction B3 B3
Form and Instruction B4 B4
Form and Instruction B5 B5
Form and Instruction B6 B6
Form and Instruction B7 B7
Form and Instruction B8 B8
Form and Instruction B9 B9
Total burden requested under this ICR: 1868 7020 0  
To view an IC, click on IC Title