Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Deceased Donor Registration (DDR) Modified 10731 11804 0 Instruction
Form 1
Disease Transmission Event New 444 275 0 Instruction
Form 58
Donor Histocompatibility Form Modified 18226 3645 0 Instruction
Form 4
Heart Follow Up (6 months) Modified 3081 1232 0 Instruction
Form 8
Heart Post-Transplant Malignancy Form Modified 1788 1609 0 Instruction
Form 11
Heart Recepient Registration Modified 3406 4087 0 Instruction
Form 7
Other-Redline
Heart Transplant Candidate Registration (TCR) Modified 4717 4245 0 Instruction
Form 6
Heart Transplant Recipient Follow Up 1-5 Year Modified 12685 11417 0 Instruction
Form 9
Heart Transplant Recipient Follow Up Post 5 Year Modified 21556 10778 0 Instruction
Form 10
Heart/Lung Post Transplant Malignancy (PTM) Form Modified 21 8 0 Instruction
Form 23
Heart/Lung Recipient Registration Modified 32 42 0 Instruction
Form 19
Other-Redline
Heart/Lung Transplant Candidate Registration (TCR) Modified 67 74 0 Instruction
Form 18
Other-Redline
Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF) Modified 79 87 0 Instruction
Form 21
Other-Redline
Heart/Lung Transplant Recipient Follow Up 6 Month (TRF) Modified 31 25 0 Instruction
Form 20
Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF) Modified 228 137 0 Instruction
Form 22
Other-Redline
Intestine Post Transplant Malignancy (PTM) Form Modified 42 42 0 Instruction
Form 34
Intestine Transplant Candidate Registration (TCR) Modified 139 181 0 Instruction
Form 30
Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 524 786 0 Instruction
Form 32
Intestine Transplant Recipient Follow Up Post 5 Year (TRF) Modified 744 298 0 Instruction
Form 33
Intestine Transplant Recipient Registration (TRR) Modified 104 187 0 Instruction
Form 31
Other-Redline
Kidney Paired Donation Candidate Registration New 221 64 0 Instruction
Form 55
Kidney Paired Donation Donor Registration New 234 250 0 Instruction
Form 56
Kidney Paired Donation Match Offer Management New 242 162 0 Instruction
Form 57
Kidney Post Transplant Malignancy (PTM) Form Modified 5366 4292 0 Instruction
Form 39
Kidney Transplant Candidate Registration (TCR) Modified 39998 31998 0 Instruction
Form 35
Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 102351 92116 0 Instruction
Form 37
Kidney Transplant Recipient Follow Up Post 5 Year (TRF) Modified 106508 53254 0 Instruction
Form 38
Kidney Transplant Recipient Registration (TRR) Modified 21195 25434 0 Instruction
Form 36
Other-Redline
Kidney/Pancreas Post Transplant Malignancy (PTM) Form Modified 293 117 0 Instruction
Form 49
Kidney/Pancreas Transplant Candidate Registration (TCR) Modified 1297 778 0 Instruction
Form 45
Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 4362 2181 0 Instruction
Form 47
Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF) Modified 7688 4613 0 Instruction
Form 48
Kidney/Pancreas Transplant Recipient Registration (TRR) Modified 1028 1234 0 Instruction
Form 46
Other-Redline
Liver Post Transplant Malignancy (PTM) Form Modified 2387 1910 0 Instruction
Form 29
Liver Recipient Explant Pathology Form Modified 1545 927 0 Instruction
Form 28
Other-Redline
Liver Transplant Candidate Registration (TCR) Modified 13182 10546 0 Instruction
Form 24
Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 38919 38919 0 Instruction
Form 26
Liver Transplant Recipient Follow Up Post 5 Year (TRF) Modified 46225 23113 0 Instruction
Form 27
Liver Transplant Recipient Registration (TRR) Modified 8256 9907 0 Instruction
Form 25
Other-Redline
Living Donor Event New 30 17 0 Instruction
Form 59
Living Donor Follow-up (LDF) Modified 18669 24270 0 Instruction
Form 3
Living Donor Registration (LDR) Modified 6855 12339 0 Instruction
Form 2
Lung - Post Transplant Malignancy (PTM) Form Modified 1400 560 0 Instruction
Form 17
Lung Transplant Candidate Registration (TCR) Modified 3210 2889 0 Instruction
Form 12
Other-Redline
Lung Transplant Recipient Follow Up 1-5 Year (TRF) Modified 8438 9282 0 Instruction
Form 15
Other-Redline
Lung Transplant Recipient Follow Up 6 Month (TRF) Modified 2297 1149 0 Instruction
Form 14
Lung Transplant Recipient Follow Up Post 5 Year (TRF) Modified 8271 4963 0 Instruction
Form 16
Other-Redline
Lung Transplant Recipient Registration (TRR) Modified 2532 3038 0 Instruction
Form 13
Other-Redline
Organ Labeling and Packaging System New 11870 2137 0 Instruction
Form 53
Organ Tracking and Validating System New 5748 460 0 Instruction
Form 54
Pancreas Post Transplant Malignancy (PTM) Form Modified 97 58 0 Instruction
Form 44
Pancreas Transplant Candidate Registration (TCR) Modified 368 221 0 Instruction
Form 40
Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 1047 524 0 Instruction
Form 42
Pancreas Transplant Recipient Follow Up Post 5 Year (TRF) Modified 2119 1060 0 Instruction
Form 43
Pancreas Transplant Recipient Registration (TRR) Modified 194 233 0 Instruction
Form 41
Other-Redline
Potential Disease Transmission Report New 392 498 0 Instruction
Form 61
Recipient Histocompatibility Form Modified 33090 13236 0 Instruction
Form 5
Request to Unlock Form New 17649 353 0 Instruction
Form 62
Safety Situation New 216 122 0 Instruction
Form 60
VCA Transplant Candidate Registration (TCR) Modified 24 10 0 Instruction
Form 50
VCA Transplant Recipient Follow Up (TRF) Modified 18 18 0 Instruction
Form 52
VCA Transplant Recipient Registration (TRR) Modified 43 56 0 Instruction
Form 51
Other-Redline
Total burden requested under this ICR: 604519 430267 0  
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