Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Additional Surgeon and Physician Request Form Modified 125 146 0 Form and Instruction 20
Form and Instruction 20S (Revised 03.25)
HOPE Act Variance Request Form Modified 0 0 0 Form and Instruction 21
Form and Instruction 21T (03.25 Version)
Kidney Paired Donation Pilot Program (KPDPP) contact update Form Modified 52 85 0 Form and Instruction 23
Form and Instruction 23U (03.25 Version)
OPTN Business Membership Application Modified 6 5 0 Form and Instruction 16
Form and Instruction 16O (03.25 version)
OPTN Individual Membership Application Modified 7 2 0 Form and Instruction 17
Form and Instruction 17P (03.25 version)
OPTN Medical Scientific Membership Application Modified 3 2 0 Form and Instruction 14
Form and Instruction 14M (03.25 Version)
OPTN Membership Application for Vascularized Composite Allograft (VCA) Transplant Program Application Modified 42 651 0 Form and Instruction 9
Form and Instruction 9 B
Form and Instruction 9
Form and Instruction 9
Form and Instruction 9V (03.25 version)
Form and Instruction 9H (03.25 version)
OPTN Membership Application Islet Transplant Program Modified 0 0 0 Form and Instruction 8
Form and Instruction 8 B
Form and Instruction 8
Form and Instruction 8
Form and Instruction 8V (03.25 version)
Form and Instruction 8G (03.25 version)
OPTN Membership Application for Heart Transplant Program Modified 49 1005 0 Form and Instruction 6 B
Form and Instruction 6
Form and Instruction 6
Form and Instruction 6
Form and Instruction 6E (03.25 version)
Form and Instruction 6V (03.25 version)
OPTN Membership Application for Histocompatibility Labs Modified 30 75 0 Form and Instruction 12
Form and Instruction 12K (03.25 Version)
OPTN Membership Application for Intestine Transplant Programs Modified 4 44 0 Form and Instruction 10
Form and Instruction 10 B
Form and Instruction 10
Form and Instruction 10
Form and Instruction 10V (03.25 version)
Form and Instruction 10I (03.25 version)
OPTN Membership Application for Kidney Transplant Programs Modified 131 1048 0 Form and Instruction 3 B
Form and Instruction 3
Form and Instruction 3
Form and Instruction 3
Form and Instruction 3B (03.25 version)
Form and Instruction 3V (03.25 version)
OPTN Membership Application for Liver Transplant Progrms Modified 84 1092 0 Form and Instruction 4 B
Form and Instruction 4
Form and Instruction 4
Form and Instruction 4
Form and Instruction 4C (03.25 version)
Form and Instruction 4V (03.25 version)
OPTN Membership Application for Lung Transplant Program Modified 46 414 0 Form and Instruction 7 B
Form and Instruction 7
Form and Instruction 7
Form and Instruction 7
Form and Instruction 7V (03.25 version)
Form and Instruction 7F (03.25 version)
OPTN Membership Application for OPOs Modified 8 320 0 Form and Instruction 11
Form and Instruction 11J (03.25 Version)
OPTN Membership Application for Pancreas Transplant Programs Modified 31 403 0 Form and Instruction 5 B
Form and Instruction 5
Form and Instruction 5
Form and Instruction 5
Form and Instruction 5D (03.25 version)
Form and Instruction 5V (03.25 version)
OPTN Membership Application for Transplant Hospitals and Programs Modified 70 280 0 Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1A (03.25 version)
Form and Instruction 1V (03.25 version)
OPTN Public Organization Membership Application Modified 4 2 0 Form and Instruction 15
Form and Instruction 15N (03.25 Version)
OPTN Representative Form Modified 35 9 0 Form and Instruction 13
Form and Instruction 13L (03.25 Version)
Primary Data Coordinator Form Modified 53 7 0 Form and Instruction 19
Form and Instruction 19R (03.25 version)
Primary Program Administrator Form Modified 78 20 0 Form and Instruction 18
Form and Instruction 18Q (03.25 version)
Total burden requested under this ICR: 858 5610 0  
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