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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Deceased Donor Registration (DDR)
Unchanged
10262
11288
0
Instruction
Form and Instruction
1
UPDATED -Copy of Copy of Deceased Donor Registration Form-Jan2017.xlsx
Donor Histocompatibility Form
Unchanged
15611
3122
0
Instruction
Form
4
Donor Histocompatibility _Form.xlsx
Heart Follow Up (6 months)
Unchanged
2261
904
0
Instruction
Form
8
Heart Transplant Recipient Follow Up 6 Month_Form.xlsx
Heart Post-Transplant Malignancy Form
Unchanged
1623
1461
0
Instruction
Form
11
Post Transplant Malignancy Form_All Organs.xlsx
Heart Recepient Registration
Unchanged
2805
3366
0
Instruction
Form
7
Heart Transplant Recipient Registration_Form.xlsx
Heart Transplant Candidate Registration (TCR)
Unchanged
4439
3995
0
Instruction
Form
6
Heart Transplant Candidate Registration_Form.xlsx
Heart Transplant Recipient Follow Up 1-5 Year
Unchanged
10595
9536
0
Instruction
Form
9
Heart Transplant Recipient Follow Up 1-5 Year_Form.xlsx
Heart Transplant Recipient Follow Up Post 5 Year
Unchanged
16085
8043
0
Instruction
Form
10
Heart Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Heart/Lung Post Transplant Malignancy (PTM) Form
Unchanged
21
8
0
Instruction
Form
23
Post Transplant Malignancy Form_All Organs.xlsx
Heart/Lung Recipient Registration
Unchanged
14
18
0
Instruction
Form
19
Heart_Lung Transplant Recipient Registration_Form.xlsx
Heart/Lung Transplant Candidate Registration (TCR)
Unchanged
46
51
0
Instruction
Form
18
Heart_Lung Transplant Candidate Registration_Form.xlsx
Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF)
Unchanged
94
103
0
Instruction
Form
21
Heart_Lung Transplant Recipient Follow Up 1-5 Year_Form.xlsx
Heart/Lung Transplant Recipient Follow Up 6 Month (TRF)
Unchanged
13
10
0
Instruction
Form
20
Heart_Lung Transplant Recipient Follow Up 6 Month_Form.xlsx
Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF)
Unchanged
199
119
0
Instruction
Form
22
Heart_Lung Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Intestine Post Transplant Malignancy (PTM) Form
Unchanged
24
24
0
Instruction
Form
34
Post Transplant Malignancy Form_All Organs.xlsx
Intestine Transplant Candidate Registration (TCR)
Unchanged
200
260
0
Instruction
Form
30
Intestine Transplant Candidate Registration_Form.xlsx
Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF)
Unchanged
530
795
0
Instruction
Form
32
Intestine Transplant Recipient Follow Up 6 Month-5 Year_Form.xlsx
Intestine Transplant Recipient Follow Up Post 5 Year (TRF)
Unchanged
655
262
0
Instruction
Form
33
Intestine Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Intestine Transplant Recipient Registration (TRR)
Unchanged
141
254
0
Instruction
Form
31
Intestine Transplant Recipient Registration_Form.xlsx
Kidney Post Transplant Malignancy (PTM) Form
Unchanged
5327
4262
0
Instruction
Form
39
Post Transplant Malignancy Form_All Organs.xlsx
Kidney Transplant Candidate Registration (TCR)
Unchanged
36076
28861
0
Instruction
Form
35
Kidney Transplant Candidate Registration_Form.xlsx
Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF)
Unchanged
91234
82111
0
Instruction
Form
37
Kidney Transplant Recipient Follow Up 6 Month-5 Year_Form.xlsx
Kidney Transplant Recipient Follow Up Post 5 Year (TRF)
Unchanged
89453
44727
0
Instruction
Form
38
Kidney Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Kidney Transplant Recipient Registration (TRR)
Unchanged
17899
21479
0
Instruction
Form
36
Kidney Transplant Recipient Registration_Form.xlsx
Kidney/Pancreas Post Transplant Malignancy (PTM) Form
Unchanged
283
113
0
Instruction
Form
49
Post Transplant Malignancy Form_All Organs.xlsx
Kidney/Pancreas Transplant Candidate Registration (TCR)
Unchanged
1265
759
0
Instruction
Form
45
Kidney_Pancreas Transplant Candidate Registration_Form.xlsx
Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)
Unchanged
4262
2131
0
Instruction
Form
47
Kidney_Pancreas Transplant Recipient Follow Up 6 Month-5 Year_Form.xlsx
Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)
Unchanged
6876
4126
0
Instruction
Form
48
Kidney_Pancreas Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Kidney/Pancreas Transplant Recipient Registration (TRR)
Unchanged
718
862
0
Instruction
Form
46
Kidney_Pancreas Transplant Recipient Registration_Form.xlsx
Liver Post Transplant Malignancy (PTM) Form
Unchanged
1985
1588
0
Instruction
Form
29
Post Transplant Malignancy Form_All Organs.xlsx
Liver Recipient Explant Pathology Form
Unchanged
1812
1087
0
Instruction
Form
28
Liver Recipient Explant Pathology_Form.xlsx
Liver Transplant Candidate Registration (TCR)
Unchanged
12026
9621
0
Instruction
Form
24
Liver Transplant Candidate Registration_Form.xlsx
Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF)
Unchanged
32985
32985
0
Instruction
Form
26
Liver Transplant Recipient Follow Up 6 Month-5 Year_Form.xlsx
Liver Transplant Recipient Follow Up Post 5 Year (TRF)
Unchanged
39108
19554
0
Instruction
Form
27
Liver Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Liver Transplant Recipient Registration (TRR)
Unchanged
7125
8550
0
Instruction
Form
25
Liver Transplant Recipient Registration_Form.xlsx
Living Donor Follow-up (LDF)
Unchanged
17686
22992
0
Instruction
Form
3
Living Donor Follow Up Form.xlsx
Living Donor Registration (LDR)
Unchanged
5936
10685
0
Instruction
Form
2
Living Donor Registration Form.xlsx
Lung - Post Transplant Malignancy (PTM) Form
Unchanged
1106
442
0
Instruction
Form
17
Post Transplant Malignancy Form_All Organs.xlsx
Lung Transplant Candidate Registration (TCR)
Unchanged
2592
2333
0
Instruction
Form
12
Lung Transplant Candidate Registration_Form.xlsx
Lung Transplant Recipient Follow Up 1-5 Year (TRF)
Unchanged
6939
7633
0
Instruction
Form
15
Heart_Lung Transplant Recipient Follow Up 1-5 Year_Instructions.docx
Lung Transplant Recipient Follow Up 6 Month (TRF)
Unchanged
1809
905
0
Instruction
Form
14
Liver Transplant Recipient Follow Up 6 Month-5 Year_Form.xlsx
Lung Transplant Recipient Follow Up Post 5 Year (TRF)
Unchanged
4898
2939
0
Instruction
Form
16
Lung Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Lung Transplant Recipient Registration (TRR)
Unchanged
2058
2470
0
Instruction
Form
13
Lung Transplant Recipient Registration_Form.xlsx
Pancreas Post Transplant Malignancy (PTM) Form
Unchanged
120
72
0
Instruction
Form
44
Post Transplant Malignancy Form_All Organs.xlsx
Pancreas Transplant Candidate Registration (TCR)
Unchanged
389
233
0
Instruction
Form
40
Pancreas Transplant Candidate Registration_Form.xlsx
Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)
Unchanged
1252
626
0
Instruction
Form
42
Pancreas Transplant Recipient Follow Up 6 Month-5 Year_Form.xlsx
Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)
Unchanged
1953
977
0
Instruction
Form
43
Pancreas Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Pancreas Transplant Recipient Registration (TRR)
Unchanged
233
280
0
Instruction
Form
41
Pancreas Transplant Recipient Registration_Form.xlsx
Recipient Histocompatibility Form
Unchanged
27810
11124
0
Instruction
Form
5
Recipient Histocompatibility_Form.xlsx
VCA Transplant Candidate Registration (TCR)
Unchanged
49
20
0
Instruction
Form
50
Vascular Composite Allograft (VCA) Transplant Candidate Registration_Form.xlsx
VCA Transplant Recipient Follow Up (TRF)
Unchanged
49
49
0
Instruction
Form
52
Vascular Composite Allograft Transplant Recipient Follow Up_Form.xlsx
VCA Transplant Recipient Registration (TRR)
Unchanged
49
64
0
Instruction
Form
51
Vascular Composite Allograft Transplant Recipient Registration_Form.xlsx
Total burden requested under this ICR:
488980
370279
0
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