Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Death Notification Registration New 10589 4447 0 Instruction
Form 66
Deceased Donor Death Referral New 3069 1535 0 Instruction
Form and Instruction 67
Deceased Donor Registration (DDR) Modified 13883 16660 0 Instruction
Form 1
Other-Redline
Other-Redline
Disease Transmission Event Modified 557 345 0 Instruction
Form 58
Donor Histocompatibility Form Modified 21034 4207 0 Instruction
Form 4
Other-Redline
Donor Hospital Registration New 2 0 0 Instruction
Form 68
Donor Organ Disposition New 19136 3253 0 Instruction
Form 69
Heart Follow Up (6 months) Modified 3538 1415 0 Instruction
Form 8
Heart Post-Transplant Malignancy Form Modified 1910 1719 0 Instruction
Form 11
Heart Recepient Registration Modified 3816 7479 0 Instruction
Form 7
Other-Redline
Heart Transplant Candidate Registration (TCR) Modified 5016 4514 0 Instruction
Form 6
Other-Redline
Other-Redline
Heart Transplant Recipient Follow Up 1-5 Year Modified 15100 13590 0 Instruction
Form 9
Other-Redline
Heart Transplant Recipient Follow Up Post 5 Year Modified 24810 12405 0 Instruction
Form 10
Other-Redline
Heart/Lung Post Transplant Malignancy (PTM) Form Modified 20 8 0 Instruction
Form 23
Heart/Lung Recipient Registration Modified 45 97 0 Instruction
Form 19
Other-Redline
Heart/Lung Transplant Candidate Registration (TCR) Modified 67 74 0 Instruction
Form 18
Other-Redline
Other-Redline
Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF) Modified 147 162 0 Instruction
Form 21
Heart/Lung Transplant Recipient Follow Up 6 Month (TRF) Modified 42 34 0 Instruction
Form 20
Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF) Modified 235 141 0 Instruction
Form 22
Initial Donor Registration New 19136 57408 0 Instruction
Form 63
Intestine Post Transplant Malignancy (PTM) Form Modified 13 13 0 Instruction
Form 34
Intestine Transplant Candidate Registration (TCR) Modified 144 187 0 Instruction
Form 30
Other-Redline
Other-Redline
Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 421 632 0 Instruction
Form 32
Other-Redline
Intestine Transplant Recipient Follow Up Post 5 Year (TRF) Modified 844 338 0 Instruction
Form 33
Other-Redline
Intestine Transplant Recipient Registration (TRR) Modified 96 173 0 Instruction
Form 31
Other-Redline
Kidney Paired Donation Candidate Registration Modified 191 55 0 Instruction
Form 55
Other-redline
Kidney Paired Donation Donor Registration Modified 248 268 0 Instruction
Form 56
Other-redline
Other-redline
Kidney Paired Donation Match Offer Management Modified 242 162 0 Instruction
Form 57
Kidney Post Transplant Malignancy (PTM) Form Modified 5726 4581 0 Instruction
Form 39
Kidney Transplant Candidate Registration (TCR) Modified 41418 33134 0 Instruction
Form 35
Other-Redline
Other-redline
Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 121006 108905 0 Instruction
Form 37
Other-Redline
Kidney Transplant Recipient Follow Up Post 5 Year (TRF) Modified 122873 61437 0 Instruction
Form 38
Other-Redline
Kidney Transplant Recipient Registration (TRR) Modified 24664 29597 0 Instruction
Form 36
Other-Redline
Kidney/Pancreas Post Transplant Malignancy (PTM) Form Modified 299 120 0 Instruction
Form 49
Kidney/Pancreas Transplant Candidate Registration (TCR) Modified 1494 896 0 Instruction
Form 45
Other-Redline
Other-Redline
Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 4733 2367 0 Instruction
Form 47
Other-Redline
Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF) Modified 8329 4997 0 Instruction
Form 48
Other-redline
Kidney/Pancreas Transplant Recipient Registration (TRR) Modified 821 985 0 Instruction
Form 46
Other-Redline
Liver Post Transplant Malignancy (PTM) Form Modified 2726 2181 0 Instruction
Form 29
Liver Recipient Explant Pathology Form Modified 1044 626 0 Instruction
Form 28
Liver Transplant Candidate Registration (TCR) Modified 13860 11088 0 Instruction
Form 24
Other-Redline
Other-Redline
Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 45799 45799 0 Instruction
Form 26
Other-Redline
Liver Transplant Recipient Follow Up Post 5 Year (TRF) Modified 54958 27479 0 Instruction
Form 27
Other-Redline
Liver Transplant Recipient Registration (TRR) Modified 9235 11082 0 Instruction
Form 25
Other-Redline
Living Donor Event Modified 39 22 0 Instruction
Form 59
Living Donor Follow-up (LDF) Modified 19559 29730 0 Instruction
Form 3
Other-Redline
Living Donor Registration (LDR) Modified 6072 13298 0 Instruction
Form 2
Other-Redline
Other-Redline
Lung - Post Transplant Malignancy (PTM) Form Modified 1629 652 0 Instruction
Form 17
Lung Transplant Candidate Registration (TCR) Modified 3094 2785 0 Instruction
Form 12
Other-Redline
Lung Transplant Recipient Follow Up 1-5 Year (TRF) Modified 10076 11084 0 Instruction
Form 15
Lung Transplant Recipient Follow Up 6 Month (TRF) Modified 2421 1211 0 Instruction
Form 14
Lung Transplant Recipient Follow Up Post 5 Year (TRF) Modified 9812 5887 0 Instruction
Form 16
Lung Transplant Recipient Registration (TRR) Modified 2521 3025 0 Instruction
Form 13
Other-Redline
OPO Notification Limit Administration New 28 5 0 Instruction
Form 64
Organ Labeling and Packaging System Modified 14120 2542 0 Instruction
Form 53
Organ Tracking and Validating System Modified 6003 480 0 Instruction
Form 54
Pancreas Post Transplant Malignancy (PTM) Form Modified 127 76 0 Instruction
Form 44
Pancreas Transplant Candidate Registration (TCR) Modified 318 191 0 Instruction
Form 40
Other-Redline
Other-Redline
Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 802 401 0 Instruction
Form 42
Other-Redline
Pancreas Transplant Recipient Follow Up Post 5 Year (TRF) Modified 2138 1069 0 Instruction
Form 43
Other-redline
Pancreas Transplant Recipient Registration (TRR) Modified 143 172 0 Instruction
Form 41
Other-Redline
Potential Disease Transmission Report Modified 497 631 0 Instruction
Form 61
Potential Transplant Recipient New 1453292 72665 0 Instruction
Form 65
Recipient Histocompatibility Form Modified 37358 14943 0 Instruction
Form 5
Other-Redline
Request to Unlock Form Modified 19038 381 0 Instruction
Form 62
Safety Situation Modified 269 151 0 Instruction
Form 60
Transplant Center Contact Management New 160013 9601 0 Instruction
Form and Instruction 70
VCA Transplant Candidate Registration (TCR) Modified 7 3 0 Instruction
Form 50
VCA Transplant Recipient Follow Up (TRF) Modified 21 28 0 Instruction
Form 52
Other-redline
VCA Transplant Recipient Registration (TRR) Modified 4 5 0 Instruction
Form 51
Other-Redline
Total burden requested under this ICR: 2352737 647633 0  
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