Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Additional Surgeon and Physician Request Form Unchanged 125 146 0 Form and Instruction 20
HOPE Act Variance Request Form Unchanged 0 0 0 Form and Instruction 21
Kidney Paired Donation Pilot Program (KPDPP) contact update Form Unchanged 52 85 0 Form and Instruction 23
OPTN Business Membership Application Unchanged 6 5 0 Form and Instruction 16
OPTN Individual Membership Application Unchanged 7 2 0 Form and Instruction 17
OPTN Medical Scientific Membership Application Unchanged 3 2 0 Form and Instruction 14
OPTN Membership Application for Vascularized Composite Allograft (VCA) Transplant Program Application Unchanged 42 651 0 Form and Instruction 9
Form and Instruction 9 B
OPTN Membership Application Islet Transplant Program Unchanged 0 0 0 Form and Instruction 8
Form and Instruction 8 B
OPTN Membership Application for Heart Transplant Program Modified 49 1005 0 Form and Instruction 6 B
Form and Instruction 6
OPTN Membership Application for Histocompatibility Labs Modified 30 75 0 Form and Instruction 12
OPTN Membership Application for Intestine Transplant Programs Unchanged 4 44 0 Form and Instruction 10
Form and Instruction 10 B
OPTN Membership Application for Kidney Transplant Programs Modified 131 1048 0 Form and Instruction 3 B
Form and Instruction 3
OPTN Membership Application for Liver Transplant Progrms Modified 84 1092 0 Form and Instruction 4 B
Form and Instruction 4
OPTN Membership Application for Lung Transplant Program Modified 46 414 0 Form and Instruction 7 B
Form and Instruction 7
OPTN Membership Application for OPOs Unchanged 8 320 0 Form and Instruction 11
OPTN Membership Application for Pancreas Transplant Programs Modified 31 403 0 Form and Instruction 5 B
Form and Instruction 5
OPTN Membership Application for Transplant Hospitals and Programs Unchanged 70 280 0 Form and Instruction 1
OPTN Public Organization Membership Application Unchanged 4 2 0 Form and Instruction 15
OPTN Representative Form Unchanged 35 9 0 Form and Instruction 13
Primary Data Coordinator Form Unchanged 53 7 0 Form and Instruction 19
Primary Program Administrator Form Unchanged 78 20 0 Form and Instruction 18
Total burden requested under this ICR: 858 5610 0  
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