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 Membership_Business Form.docx
OPTN Certificate of Assessment and Program Coverage Plan Membership Application Unchanged 2 6 0 Form and Instruction 2 Membership_CertificateAssessment_ProgramCoverage Form.docx
OPTN Individual Membership Application Unchanged 4 4 0 Form and Instruction 17 Membership_Individual Form.docx
OPTN Medical Scientific Membership Application Unchanged 7 7 0 Form and Instruction 14 Membership_MedicalScientific Form.docx
OPTN Membership Application for Vascularized Composite Allograft (VCA) Transplant Program Application Modified 106 212 0 Form and Instruction 9 OPTN Membership Application for Vascularized Composite Allograft (VCA) Transplant Programs CLEAN
Form and Instruction 9 R OPTN Membership Application for Vascularized Composite Allograft (VCA) Transplant Programs REDLINE
Form and Instruction 9 B OPTN Membership Application_Surgeon or Physician Log CLEAN
Form and Instruction 9 BR OPTN Membership Application_Surgeon or Physician Log REDLINE
OPTN Membership Application Islet Transplant Program Modified 8 16 0 Form and Instruction 8 OPTN Membership Application for Islet Transplant Programs CLEAN
Form and Instruction 8 R OPTN Membership Application for Islet Transplant Programs REDLINE
Form and Instruction 8 B OPTN Membership Application_Surgeon or Physician Log CLEAN
Form and Instruction 8 BR OPTN Membership Application_Surgeon or Physician Log REDLINE
OPTN Membership Application for Heart Transplant Program Modified 284 852 0 Form and Instruction 6 OPTN Membership Application for Heart Transplant Programs CLEAN
Form and Instruction 6 R OPTN Membership Application for Heart Transplant Programs REDLINE
Form and Instruction 6 B OPTN Membership Application_Surgeon or Physician Log CLEAN
Form and Instruction 6 BR OPTN Membership Application_Surgeon or Physician Log REDLINE
OPTN Membership Application for Histocompatibility Labs Modified 54 162 0 Form and Instruction 12 OPTN Membership Application for Histocompatibility Laboratories CLEAN
Form and Instruction 12 R OPTN Membership Application for Histocompatibility Laboratories REDLINE
OPTN Membership Application for Intestine Transplant Programs Modified 180 540 0 Form and Instruction 10 OPTN Membership Application for Intestine Transplant Programs CLEAN
Form and Instruction 10 R OPTN Membership Application for Intestine Transplant Programs REDLINE
Form and Instruction 10 B OPTN Membership Application_Surgeon or Physician Log CLEAN
Form and Instruction 10 BR OPTN Membership Application_Surgeon or Physician Log REDLINE
OPTN Membership Application for Kidney Transplant Programs Modified 378 1134 0 Form and Instruction 3 OPTN Membership Application for Kidney Transplant Programs CLEAN
Form and Instruction 3 R OPTN Membership Application for Kidney Transplant Programs REDLINE
Form and Instruction 3 B OPTN Membership Application_Surgeon or Physician Log CLEAN.docx
Form and Instruction 3 BR OPTN Membership Application_Surgeon or Physician Log REDLINE.docx
OPTN Membership Application for Liver Transplant Progrms Modified 220 660 0 Form and Instruction 4 OPTN Membership Application for Liver Transplant Programs CLEAN
Form and Instruction 4 R OPTN Membership Application for Liver Transplant Programs REDLINE
Form and Instruction 4 B OPTN Membership Application_Surgeon or Physician Log CLEAN
Form and Instruction 4 BR OPTN Membership Application_Surgeon or Physician Log REDLINE.docx
OPTN Membership Application for Lung Transplant Program Modified 120 360 0 Form and Instruction 7 OPTN Membership Application for Lung Transplant Programs CLEAN
Form and Instruction 7 R OPTN Membership Application for Lung Transplant Programs REDLINE
Form and Instruction 7 B OPTN Membership Application_Surgeon or Physician Log CLEAN
Form and Instruction 7 BR OPTN Membership Application_Surgeon or Physician Log REDLINE
OPTN Membership Application for OPOs Unchanged 10 30 0 Form and Instruction 11 Membership_OPO Form.docx
OPTN Membership Application for Pancreas Transplant Programs Modified 240 720 0 Form and Instruction 5 OPTN Membership Application for Pancreas Transplant Programs CLEAN
Form and Instruction 5 R OPTN Membership Application for Pancreas Transplant Programs REDLINE
Form and Instruction 5 B OPTN Membership Application_Surgeon or Physician Log CLEAN
Form and Instruction 5 BR OPTN Membership Application_Surgeon or Physician Log REDLINE
OPTN Membership Application for Transplant Hospitals and Programs Modified 2 6 0 Form and Instruction 1 OPTN Membership Application for Transplant Hospitals and Programs CLEAN.docx
Form and Instruction 1 R OPTN Membership Application for Transplant Hospitals and Programs REDLINE.docx
OPTN Public Organization Membership Application Unchanged 4 4 0 Form and Instruction 15 Membership_PublicOrg Form.docx
OPTN Representative Form Unchanged 40 40 0 Form and Instruction 13 Membership_Representative Form.docx
Total burden requested under this ICR: 1661 4755 0  
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