Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
A New Transplant Hospital Program Application - General Unchanged 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 Unchanged 184 736 0 Form and Instruction B6 B6_HR Heart_Clean.doc
B Intestine Designated Program Application Unchanged 80 240 0 Form and Instruction B17 B17 Intestine_HRSA.doc
B Islet (PI) Designated Program Application Unchanged 4 12 0 Form and Instruction B8 B8_PI PancreasIslet_Clean.doc
B Kidney (KI) Designated Program Application Unchanged 236 944 0 Form and Instruction B3 B3_Kidney_LDKidney_Clean.doc
B Liver (LI) Designated Program Application Unchanged 118 472 0 Form and Instruction B4 B4_L1 Liver_LDLiver_Clean.doc
B Living Donor (LD) Recovery Program Application Unchanged 84 252 0 Form and Instruction B9 B9_LD NewLivingDonorRecoveries_Clean.doc
B Lung (LU) Designated Program Application Unchanged 60 240 0 Form and Instruction B7 B7_LU Lung_Clean.doc
B Pancreas (PA) Designated Program Application Unchanged 120 480 0 Form and Instruction B5 B5_PA Pancreas_Clean.doc
B VCA Abdominal Wall Designated Program Application Unchanged 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 Unchanged 28 84 0 Form and Instruction B10 B VCA_Head and Neck_Updated.doc
B VCA Other Designated Program Application Unchanged 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 Unchanged 34 102 0 Form and Instruction B11 B VCA_Upper Limb_Updated.doc
C OPO New Application Unchanged 1 4 0 Form and Instruction C C_OPO_New_final_Clean_HRSA.doc
D Histocompatibility Lab Application Unchanged 6 24 0 Form and Instruction D D_HistoLab_New_Clean_HRSA.doc
E Personnel Change Cover Application Unchanged 790 3160 0 Form and Instruction F F_HistoLab_PersonnelChange_Clean_HRSA.doc
F Change in Histocompatibility Lab Director Unchanged 50 100 0 Form and Instruction F F_HistoLab_PersonnelChange_Clean_HRSA.doc
G Change in OPO Key Personnel Unchanged 10 10 0 Form and Instruction G G_OPO_DirectorChange_final_clean_HRSA.doc
H Medical Scientific Org Application Unchanged 7 14 0 Form and Instruction H H_MedicalScientific_Clean_HRSA.doc
I Public Org Application Unchanged 4 8 0 Form and Instruction I I_PublicOrg_Clean_HRSA.doc
J Business Member Application Unchanged 2 4 0 Form and Instruction j J_Business_Clean_HRSA.doc
K Individual Member Application Unchanged 4 4 0 Form and Instruction K K_Individual_Clean_HRSA.doc
Total burden requested under this ICR: 1868 7020 0  
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