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 Death Notification Registration
Deceased Donor Death Referral New 3069 1535 0 Instruction
Form and Instruction 67 Deceased Donor Death Referral
Deceased Donor Registration (DDR) Modified 13883 16660 0 Instruction
Form 1 Deceased Donor Registration_Form_Clean.xlsx
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Disease Transmission Event Modified 557 345 0 Instruction
Form 58 Disease Transmission Event_Form.xlsx
Donor Histocompatibility Form Modified 21034 4207 0 Instruction
Form 4 Donor Histocompatibility_Form_Clean.xlsx
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Donor Hospital Registration New 2 0 0 Instruction
Form 68 Donor Hospital Registration
Donor Organ Disposition New 19136 3253 0 Instruction
Form 69 Donor Organ Disposition
Heart Follow Up (6 months) Modified 3538 1415 0 Instruction
Form 8 Heart Transplant Recipient Follow Up 6 Month_Form.xlsx
Heart Post-Transplant Malignancy Form Modified 1910 1719 0 Instruction
Form 11 Heart Post Transplant Malignancy_Form.xlsx
Heart Recepient Registration Modified 3816 7479 0 Instruction
Form 7 Heart Transplant Recipient Registration_Form_clean.xlsx
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Heart Transplant Candidate Registration (TCR) Modified 5016 4514 0 Instruction
Form 6 Heart Transplant Candidate Registration_Form_clean.xlsx
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Heart Transplant Recipient Follow Up 1-5 Year Modified 15100 13590 0 Instruction
Form 9 Heart Transplant Recipient Follow Up 1_5 Year _Form_Clean.xlsx
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Heart Transplant Recipient Follow Up Post 5 Year Modified 24810 12405 0 Instruction
Form 10 Heart Transplant Recipient Follow Up Post 5 Year_Form_Clean.xlsx
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Heart/Lung Post Transplant Malignancy (PTM) Form Modified 20 8 0 Instruction
Form 23 HeartLung Post Transplant Malignancy_Form.xlsx
Heart/Lung Recipient Registration Modified 45 97 0 Instruction
Form 19 Heart/Lung Transplant Recipient Registration_Form_clean.xlsx
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Heart/Lung Transplant Candidate Registration (TCR) Modified 67 74 0 Instruction
Form 18 Heart/Lung Transplant Candidate Registration_Form_clean.xlsx
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Heart/Lung Transplant Recipient Follow Up 1-5 Year (TRF) Modified 147 162 0 Instruction
Form 21 Heart/Lung Transplant Recipient Follow Up 1_5 Year_Form.xlsx
Heart/Lung Transplant Recipient Follow Up 6 Month (TRF) Modified 42 34 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 235 141 0 Instruction
Form 22 Heart/Lung Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Initial Donor Registration New 19136 57408 0 Instruction
Form 63 Initial Donor Registration
Intestine Post Transplant Malignancy (PTM) Form Modified 13 13 0 Instruction
Form 34 Intestine Post Transplant Malignancy_Form.xlsx
Intestine Transplant Candidate Registration (TCR) Modified 144 187 0 Instruction
Form 30 Intestine Transplant Candidate Registration_Form_clean.xlsx
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Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 421 632 0 Instruction
Form 32 Intestine Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
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Intestine Transplant Recipient Follow Up Post 5 Year (TRF) Modified 844 338 0 Instruction
Form 33 Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
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Intestine Transplant Recipient Registration (TRR) Modified 96 173 0 Instruction
Form 31 Intestine Transplant Recipient Registration_Form_clean.xlsx
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Kidney Paired Donation Candidate Registration Modified 191 55 0 Instruction
Form 55 Kidney Paired Donation Candidate Registration_Form_clean.xlsx
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Kidney Paired Donation Donor Registration Modified 248 268 0 Instruction
Form 56 Kidney Paired Donation Donor Registration_Form_clean.xlsx
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Kidney Paired Donation Match Offer Management Modified 242 162 0 Instruction
Form 57 Kidney Paired Donation Match Offer Management_Form.xlsx
Kidney Post Transplant Malignancy (PTM) Form Modified 5726 4581 0 Instruction
Form 39 Kidney Post Transplant Malignancy_Form.xlsx
Kidney Transplant Candidate Registration (TCR) Modified 41418 33134 0 Instruction
Form 35 Kidney Transplant Candidate Registration_Form_clean.xlsx
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Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 121006 108905 0 Instruction
Form 37 Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
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Kidney Transplant Recipient Follow Up Post 5 Year (TRF) Modified 122873 61437 0 Instruction
Form 38 Kidney Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
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Kidney Transplant Recipient Registration (TRR) Modified 24664 29597 0 Instruction
Form 36 Kidney Transplant Recipient Registration_Form_clean.xlsx
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Kidney/Pancreas Post Transplant Malignancy (PTM) Form Modified 299 120 0 Instruction
Form 49 Kidney/Pancreas Post Transplant Malignancy_Form.xlsx
Kidney/Pancreas Transplant Candidate Registration (TCR) Modified 1494 896 0 Instruction
Form 45 Kidney/Pancreas Transplant Candidate Registration_Form_clean.xlsx
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Other-Redline
Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 4733 2367 0 Instruction
Form 47 Kidney/Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
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Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF) Modified 8329 4997 0 Instruction
Form 48 Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
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Kidney/Pancreas Transplant Recipient Registration (TRR) Modified 821 985 0 Instruction
Form 46 Kidney/Pancreas Transplant Recipient Registration_Form_clean.xlsx
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Liver Post Transplant Malignancy (PTM) Form Modified 2726 2181 0 Instruction
Form 29 Liver Post Transplant Malignancy_Form.xlsx
Liver Recipient Explant Pathology Form Modified 1044 626 0 Instruction
Form 28 Liver Explant Pathology Form.xlsx
Liver Transplant Candidate Registration (TCR) Modified 13860 11088 0 Instruction
Form 24 Liver Transplant Candidate Registration_Form.xlsx
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Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 45799 45799 0 Instruction
Form 26 Liver Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
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Liver Transplant Recipient Follow Up Post 5 Year (TRF) Modified 54958 27479 0 Instruction
Form 27 Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
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Liver Transplant Recipient Registration (TRR) Modified 9235 11082 0 Instruction
Form 25 Liver Transplant Recipient Registration_Form_clean.xlsx
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Living Donor Event Modified 39 22 0 Instruction
Form 59 Living Donor Event_Form.xlsx
Living Donor Follow-up (LDF) Modified 19559 29730 0 Instruction
Form 3 Living Donor Follow Up_Form_Clean.xlsx
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Living Donor Registration (LDR) Modified 6072 13298 0 Instruction
Form 2 Living Donor Registration_Form_clean
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Other-Redline
Lung - Post Transplant Malignancy (PTM) Form Modified 1629 652 0 Instruction
Form 17 Lung Post Transplant Malignancy_Form.xlsx
Lung Transplant Candidate Registration (TCR) Modified 3094 2785 0 Instruction
Form 12 Lung Transplant Candidate Registration_Form
Other-Redline
Lung Transplant Recipient Follow Up 1-5 Year (TRF) Modified 10076 11084 0 Instruction
Form 15 Lung Transplant Recipient Follow Up 1_5 Year_Form
Lung Transplant Recipient Follow Up 6 Month (TRF) Modified 2421 1211 0 Instruction
Form 14 Lung Transplant Recipient Follow Up 6 Month_Form.xlsx
Lung Transplant Recipient Follow Up Post 5 Year (TRF) Modified 9812 5887 0 Instruction
Form 16 Lung Transplant Recipient Follow Up Post 5 Year_Form
Lung Transplant Recipient Registration (TRR) Modified 2521 3025 0 Instruction
Form 13 Lung Transplant Recipient Registration_Form_clean.xlsx
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OPO Notification Limit Administration New 28 5 0 Instruction
Form 64 OPO Notification Limit Administration
Organ Labeling and Packaging System Modified 14120 2542 0 Instruction
Form 53 Organ Labeling and Packaging_Form.xlsx
Organ Tracking and Validating System Modified 6003 480 0 Instruction
Form 54 Organ Tracking and Validating_Form.xlsx
Pancreas Post Transplant Malignancy (PTM) Form Modified 127 76 0 Instruction
Form 44 Pancreas Post Transplant Malignancy_Form.xlsx
Pancreas Transplant Candidate Registration (TCR) Modified 318 191 0 Instruction
Form 40 Pancreas Transplant Candidate Registration_Form_clean.xlsx
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Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF) Modified 802 401 0 Instruction
Form 42 Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
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Pancreas Transplant Recipient Follow Up Post 5 Year (TRF) Modified 2138 1069 0 Instruction
Form 43 Pancreas Transplant Recipient Follow Up Post 5 Year_ Form_clean.xlsx
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Pancreas Transplant Recipient Registration (TRR) Modified 143 172 0 Instruction
Form 41 Pancreas Transplant Recipient Registration_Form_clean.xlsx
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Potential Disease Transmission Report Modified 497 631 0 Instruction
Form 61 Potential Disease Transmission Report_Form.xlsx
Potential Transplant Recipient New 1453292 72665 0 Instruction
Form 65 Potential Transplant Recipient
Recipient Histocompatibility Form Modified 37358 14943 0 Instruction
Form 5 Recipient Histocompatibility_Form._Clean.xlsx
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Request to Unlock Form Modified 19038 381 0 Instruction
Form 62 Request to Unlock Form_Form.xlsx
Safety Situation Modified 269 151 0 Instruction
Form 60 Safety Situation_Form.xlsx
Transplant Center Contact Management New 160013 9601 0 Instruction
Form and Instruction 70 Transplant Center Contact Management
VCA Transplant Candidate Registration (TCR) Modified 7 3 0 Instruction
Form 50 VCA Transplant Candidate Registration_Form.xlsx
VCA Transplant Recipient Follow Up (TRF) Modified 21 28 0 Instruction
Form 52 VCA Transplant Recipient Follow Up_Form_clean.xlsx
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VCA Transplant Recipient Registration (TRR) Modified 4 5 0 Instruction
Form 51 VCA Transplant Recipient Registration_Form_clean.xlsx
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Total burden requested under this ICR: 2352737 647633 0  
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