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 Deceased Donor Registration_Form.xlsx
Disease Transmission Event New 444 275 0 Instruction
Form 58 Disease Transmission Event_Form.xlsx
Donor Histocompatibility Form Modified 18226 3645 0 Instruction
Form 4 Donor Histocompatibility_Form.xlsx
Heart Follow Up (6 months) Modified 3081 1232 0 Instruction
Form 8 Heart Transplant Recipient Follow Up 6 Month_Form.xlsx
Heart Post-Transplant Malignancy Form Modified 1788 1609 0 Instruction
Form 11 Heart Post Transplant Malignancy_Form.xlsx
Heart Recepient Registration Modified 3406 4087 0 Instruction
Form 7 Heart Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Heart Transplant Candidate Registration (TCR) Modified 4717 4245 0 Instruction
Form 6 Heart Transplant Candidate Registration_Form.xlsx
Heart Transplant Recipient Follow Up 1-5 Year Modified 12685 11417 0 Instruction
Form 9 Heart Transplant Recipient Follow Up 1_5 Year _Form.xlsx
Heart Transplant Recipient Follow Up Post 5 Year Modified 21556 10778 0 Instruction
Form 10 Heart Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Heart/Lung Post Transplant Malignancy (PTM) Form Modified 21 8 0 Instruction
Form 23 Heart/Lung Post Transplant Malignancy_Form.xlsx
Heart/Lung Recipient Registration Modified 32 42 0 Instruction
Form 19 Heart/Lung Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Heart/Lung Transplant Candidate Registration (TCR) Modified 67 74 0 Instruction
Form 18 Heart/Lung Transplant Candidate Registration_Form_clean.xlsx
Other-Redline
Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF) Modified 79 87 0 Instruction
Form 21 Heart/Lung Transplant Recipient Follow Up 1_5 Year_Form_clean.xlsx
Other-Redline
Heart/Lung Transplant Recipient Follow Up 6 Month (TRF) Modified 31 25 0 Instruction
Form 20 Heart/Lung Transplant Recipient Follow Up 6 Month_Form.xlsx
Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF) Modified 228 137 0 Instruction
Form 22 Heart/Lung Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
Other-Redline
Intestine Post Transplant Malignancy (PTM) Form Modified 42 42 0 Instruction
Form 34 Intestine Post Transplant Malignancy_Form.xlsx
Intestine Transplant Candidate Registration (TCR) Modified 139 181 0 Instruction
Form 30 Intestine Transplant Candidate Registration_Form.xlsx
Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 524 786 0 Instruction
Form 32 Intestine Transplant Recipient Follow Up 6 Month_5 Year_Form.xlsx
Intestine Transplant Recipient Follow Up Post 5 Year (TRF) Modified 744 298 0 Instruction
Form 33 Liver Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Intestine Transplant Recipient Registration (TRR) Modified 104 187 0 Instruction
Form 31 Intestine Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Kidney Paired Donation Candidate Registration New 221 64 0 Instruction
Form 55 Kidney Paired Donation Candidate Registration_Form.xlsx
Kidney Paired Donation Donor Registration New 234 250 0 Instruction
Form 56 Kidney Paired Donation Donor Registration_Form.xlsx
Kidney Paired Donation Match Offer Management New 242 162 0 Instruction
Form 57 Kidney Paired Donation Match Offer Management_Form.xlsx
Kidney Post Transplant Malignancy (PTM) Form Modified 5366 4292 0 Instruction
Form 39 Kidney Post Transplant Malignancy_Form.xlsx
Kidney Transplant Candidate Registration (TCR) Modified 39998 31998 0 Instruction
Form 35 Kidney Transplant Candidate Registration_Form.xlsx
Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 102351 92116 0 Instruction
Form 37 Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form.xlsx
Kidney Transplant Recipient Follow Up Post 5 Year (TRF) Modified 106508 53254 0 Instruction
Form 38 Kidney Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Kidney Transplant Recipient Registration (TRR) Modified 21195 25434 0 Instruction
Form 36 Kidney Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Kidney/Pancreas Post Transplant Malignancy (PTM) Form Modified 293 117 0 Instruction
Form 49 Kidney/Pancreas Post Transplant Malignancy_Form.xlsx
Kidney/Pancreas Transplant Candidate Registration (TCR) Modified 1297 778 0 Instruction
Form 45 Kidney/Pancreas Transplant Candidate Registration_Form.xlsx
Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 4362 2181 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) Modified 7688 4613 0 Instruction
Form 48 Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Kidney/Pancreas Transplant Recipient Registration (TRR) Modified 1028 1234 0 Instruction
Form 46 Kidney/Pancreas Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Liver Post Transplant Malignancy (PTM) Form Modified 2387 1910 0 Instruction
Form 29 Liver Post Transplant Malignancy_Form.xlsx
Liver Recipient Explant Pathology Form Modified 1545 927 0 Instruction
Form 28 Liver Explant Pathology_clean.xlsx
Other-Redline
Liver Transplant Candidate Registration (TCR) Modified 13182 10546 0 Instruction
Form 24 Liver Transplant Candidate Registration_Form.xlsx
Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 38919 38919 0 Instruction
Form 26 Liver Transplant Recipient Follow Up 6 Month_5 Year_Form.xlsx
Liver Transplant Recipient Follow Up Post 5 Year (TRF) Modified 46225 23113 0 Instruction
Form 27 Liver Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Liver Transplant Recipient Registration (TRR) Modified 8256 9907 0 Instruction
Form 25 Liver Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Living Donor Event New 30 17 0 Instruction
Form 59 Living Donor Event_Form.xlsx
Living Donor Follow-up (LDF) Modified 18669 24270 0 Instruction
Form 3 Living Donor Follow Up_Form.xlsx
Living Donor Registration (LDR) Modified 6855 12339 0 Instruction
Form 2 Living Donor Registration_Form.xlsx
Lung - Post Transplant Malignancy (PTM) Form Modified 1400 560 0 Instruction
Form 17 Lung Post Transplant Malignancy_Form.xlsx
Lung Transplant Candidate Registration (TCR) Modified 3210 2889 0 Instruction
Form 12 Lung Transplant Candidate Registration_Form_clean.xlsx
Other-Redline
Lung Transplant Recipient Follow Up 1-5 Year (TRF) Modified 8438 9282 0 Instruction
Form 15 Lung Transplant Recipient Follow Up 1_5 Year_Form_clean.xlsx
Other-Redline
Lung Transplant Recipient Follow Up 6 Month (TRF) Modified 2297 1149 0 Instruction
Form 14 Lung Transplant Recipient Follow Up 6 Month_Form.xlsx
Lung Transplant Recipient Follow Up Post 5 Year (TRF) Modified 8271 4963 0 Instruction
Form 16 Lung Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
Other-Redline
Lung Transplant Recipient Registration (TRR) Modified 2532 3038 0 Instruction
Form 13 Lung Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Organ Labeling and Packaging System New 11870 2137 0 Instruction
Form 53 Organ Labeling and Packaging_Form.xlsx
Organ Tracking and Validating System New 5748 460 0 Instruction
Form 54 Organ Tracking and Validating_Form.xlsx
Pancreas Post Transplant Malignancy (PTM) Form Modified 97 58 0 Instruction
Form 44 Pancreas Post Transplant Malignancy_Form.xlsx
Pancreas Transplant Candidate Registration (TCR) Modified 368 221 0 Instruction
Form 40 Pancreas Transplant Candidate Registration_Form.xlsx
Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 1047 524 0 Instruction
Form 42 Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form.xlsx
Pancreas Transplant Recipient Follow Up Post 5 Year (TRF) Modified 2119 1060 0 Instruction
Form 43 Pancreas Transplant Recipient Follow Up Post 5 Year_ Form.xlsx
Pancreas Transplant Recipient Registration (TRR) Modified 194 233 0 Instruction
Form 41 Pancreas Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Potential Disease Transmission Report New 392 498 0 Instruction
Form 61 Potential Disease Transmission Report_Form.xlsx
Recipient Histocompatibility Form Modified 33090 13236 0 Instruction
Form 5 Recipient Histocompatibility_Form.xlsx
Request to Unlock Form New 17649 353 0 Instruction
Form 62 Request to Unlock Form_Form.xlsx
Safety Situation New 216 122 0 Instruction
Form 60 Safety Situation_Form.xlsx
VCA Transplant Candidate Registration (TCR) Modified 24 10 0 Instruction
Form 50 VCA Transplant Candidate Registration_Form.xlsx
VCA Transplant Recipient Follow Up (TRF) Modified 18 18 0 Instruction
Form 52 VCA Transplant Recipient Follow Up_Form.xlsx
VCA Transplant Recipient Registration (TRR) Modified 43 56 0 Instruction
Form 51 VCA Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Total burden requested under this ICR: 604519 430267 0  
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