Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
B VCA Abdominal Wall Designated Program Application Removed 0 0 0 Form and Instruction B12
Form and Instruction B13
Form and Instruction B14
Form and Instruction B15
B VCA Head and Neck Designated Program Application Removed 0 0 0 Form and Instruction B10
B VCA Other Designated Program Application Removed 0 0 0 Form and Instruction B16 a
Form and Instruction B16 b
Form and Instruction B16 c
F Change in Histocompatibility Lab Director Removed 0 0 0 Form and Instruction F
G Change in OPO Key Personnel Removed 0 0 0 Form and Instruction G
OPTN Business Membership Application Modified 2 2 0 Form and Instruction 16
OPTN Certificate of Assessment and Program Coverage Plan Membership Application Modified 2 6 0 Form and Instruction 2
OPTN Individual Membership Application Modified 4 4 0 Form and Instruction 17
OPTN Medical Scientific Membership Application Modified 7 7 0 Form and Instruction 14
OPTN Membership Application Islet Transplant Program Modified 8 16 0 Form and Instruction 8
Form and Instruction 8B
OPTN Membership Application for Vascularized Composite Allograft (VCA) Transplant Program Application Modified 106 212 0 Form and Instruction 9
Form and Instruction 9B
OPTN Membership Application for Heart Transplant Program Modified 284 852 0 Form and Instruction 6
Form and Instruction 6B
OPTN Membership Application for Histocompatibility Labs Modified 54 162 0 Form and Instruction 12
OPTN Membership Application for Intestine Transplant Programs Modified 180 540 0 Form and Instruction 10
Form and Instruction 10B
OPTN Membership Application for Kidney Transplant Programs Modified 378 1134 0 Form and Instruction 3
Form and Instruction 3B
OPTN Membership Application for Liver Transplant Progrms Modified 220 660 0 Form and Instruction 4
Form and Instruction 4B
OPTN Membership Application for Lung Transplant Program Modified 120 360 0 Form and Instruction 7
Form and Instruction 7B
OPTN Membership Application for OPOs Modified 10 30 0 Form and Instruction 11
OPTN Membership Application for Pancreas Transplant Programs Modified 240 720 0 Form and Instruction 5
Form and Instruction 5B
OPTN Membership Application for Transplant Hospitals Modified 2 6 0 Form and Instruction 1
OPTN Public Organization Membership Application Modified 4 4 0 Form and Instruction 15
OPTN Representative Form Modified 40 40 0 Form and Instruction 13
Total burden requested under this ICR: 1661 4755 0  
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