Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
OPTN Business Membership Application Unchanged 2 2 0 Form and Instruction 16
OPTN Certificate of Assessment and Program Coverage Plan Membership Application Unchanged 2 6 0 Form and Instruction 2
OPTN Individual Membership Application Unchanged 4 4 0 Form and Instruction 17
OPTN Medical Scientific Membership Application Unchanged 7 7 0 Form and Instruction 14
OPTN Membership Application for Vascularized Composite Allograft (VCA) Transplant Program Application Modified 106 212 0 Form and Instruction 9
Form and Instruction 9 R
Form and Instruction 9 B
Form and Instruction 9 BR
OPTN Membership Application Islet Transplant Program Modified 8 16 0 Form and Instruction 8
Form and Instruction 8 R
Form and Instruction 8 B
Form and Instruction 8 BR
OPTN Membership Application for Heart Transplant Program Modified 284 852 0 Form and Instruction 6
Form and Instruction 6 R
Form and Instruction 6 B
Form and Instruction 6 BR
OPTN Membership Application for Histocompatibility Labs Modified 54 162 0 Form and Instruction 12
Form and Instruction 12 R
OPTN Membership Application for Intestine Transplant Programs Modified 180 540 0 Form and Instruction 10
Form and Instruction 10 R
Form and Instruction 10 B
Form and Instruction 10 BR
OPTN Membership Application for Kidney Transplant Programs Modified 378 1134 0 Form and Instruction 3
Form and Instruction 3 R
Form and Instruction 3 B
Form and Instruction 3 BR
OPTN Membership Application for Liver Transplant Progrms Modified 220 660 0 Form and Instruction 4
Form and Instruction 4 R
Form and Instruction 4 B
Form and Instruction 4 BR
OPTN Membership Application for Lung Transplant Program Modified 120 360 0 Form and Instruction 7
Form and Instruction 7 R
Form and Instruction 7 B
Form and Instruction 7 BR
OPTN Membership Application for OPOs Unchanged 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 5 R
Form and Instruction 5 B
Form and Instruction 5 BR
OPTN Membership Application for Transplant Hospitals and Programs Modified 2 6 0 Form and Instruction 1
Form and Instruction 1 R
OPTN Public Organization Membership Application Unchanged 4 4 0 Form and Instruction 15
OPTN Representative Form Unchanged 40 40 0 Form and Instruction 13
Total burden requested under this ICR: 1661 4755 0  
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