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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Adult Heart Candidate Listing Registration
New
5003
4152
0
Instruction
Form
83
Adult Heart Candidate Listing Registration
Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data
New
64
34
0
Form
133
Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data
Instruction
Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data
New
69
23
0
Instruction
Form
132
Adult Heart and HeartLung Status 1 Exception Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data
New
848
492
0
Form
131
Adult Heart and HeartLung Status 1 Initial Justification Form Medical Urgency Data
Instruction
Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data
New
20231
6474
0
Form
129
Adult Heart and HeartLung Status 1-6 Justification Form Demographic Data
Instruction
Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data
New
20231
14566
0
Instruction
Form
130
Adult Heart and HeartLung Status 1-6 Justification Form Risk Stratification Data
Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data
New
4
2
0
Instruction
Form
136
Adult Heart and HeartLung Status 2 Criteria 1 Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data
New
454
286
0
Form
137
Adult Heart and HeartLung Status 2 Criteria 4 Extension Justification Form Medical Urgency Data
Instruction
Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data
New
253
152
0
Instruction
Form
138
Adult Heart and HeartLung Status 2 Criteria 5 Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data
New
1471
485
0
Form
135
Adult Heart and HeartLung Status 2 Exception Extension Justification Form Medical Urgency Data
Instruction
Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data
New
3861
3089
0
Instruction
Form
134
Adult Heart and HeartLung Status 2 Initial Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data
New
95
30
0
Form
141
Adult Heart and HeartLung Status 3 Criteria 2 Extension Justification Form Medical Urgency Data
Instruction
Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data
New
16
8
0
Instruction
Form
142
Adult Heart and HeartLung Status 3 Criteria 5 Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data
New
1025
338
0
Instruction
Form
140
Adult Heart and HeartLung Status 3 Exception Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data
New
1775
1118
0
Form
139
Adult Heart and HeartLung Status 3 Initial Justification Form Medical Urgency Data
Instruction
Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data
New
83
33
0
Form
145
Adult Heart and HeartLung Status 4 Criteria 2 Extension Justification Form Medical Urgency Data
Instruction
Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data
New
258
65
0
Instruction
Form
144
Adult Heart and HeartLung Status 4 Exception Extension Justification Form Medical Urgency Data
Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data
New
3503
1752
0
Form
143
Adult Heart and HeartLung Status 4 Initial Justification Form Medical Urgency Data
Instruction
Adult HeartLung Candidate Listing Registration
New
70
60
0
Form
85
Adult HeartLung Candidate Listing Registration
Instruction
Adult Intestine Candidate Listing Registration
New
89
34
0
Instruction
Form
81
Adult Intestine Candidate Listing Registration
Adult Kidney Candidate Listing Registration
New
46724
24296
0
Form
71
Adult Kidney Candidate Listing Registration
Instruction
Adult Kidney Pancreas Candidate Listing Registration
New
1590
588
0
Instruction
Form
73
Adult Kidney Pancreas Candidate Listing Registration
Adult Liver Candidate Listing Registration
New
13977
4473
0
Instruction
Form
79
Adult Liver Candidate Listing Registration
Adult Liver Status 1A Initial Justification and Extension Form
New
328
187
0
Instruction
Form
108
Adult Liver Status 1A Initial Justification and Extension Form
Adult Lung Candidate Listing Registration
New
3319
3319
0
Form
87
Adult Lung Candidate Listing Registration
Instruction
Adult Pancreas Candidate Listing Registration
New
1881
715
0
Instruction
Form
75
Adult Pancreas Candidate Listing Registration
Adult Pancreas Islet Listing Registration
New
33
13
0
Instruction
Form
77
Adult Pancreas Islet Listing Registration
Adult and Pediatric Lung and HeartLung Goal Exception Form
New
554
416
0
Instruction
Form
146
Adult and Pediatric Lung and HeartLung Goal Exception Form
Candidate Registration Listing Removal
New
71739
12913
0
Form
89
Candidate Registration Listing Removal
Instruction
Death Notification Registration
Modified
16223
6814
0
Instruction
Form
66
Death Notification Registration
Other-Redline
Deceased Donor Death Referral
Modified
3254
1627
0
Instruction
Form
67
Deceased Donor Death Referral
Other-Redline
Deceased Donor Registration (DDR)
Modified
23224
11148
0
Form
1
Deceased Donor Registration (DDR)
Other-Redline
Instruction
Discrepant HLA Typings Reporting Form
New
108
558
0
Instruction
Form
152
Non-US Transplants Reporting Form
Disease Transmission Event
Modified
708
425
0
Instruction
Form
58
Disease Transmission Event_Form.xlsx
Other-Redline
Donor Histocompatibility Form
Modified
23917
4783
0
Instruction
Form
4
Donor Histocompatibility_Form.xlsx
Donor Hospital Registration
Modified
2
0
0
Instruction
Form
68
Donor Hospital Registration
Donor Organ Disposition
Modified
23224
3948
0
Instruction
Form
69
Donor Organ Disposition
Other-Redline
Extra Vessels Reporting Form
New
13320
400
0
Instruction
Form
150
Extra Vessels Reporting Form
Heart Post-Transplant Malignancy Form
Modified
1819
1637
0
Instruction
Form
11
Heart Post Transplant Malignancy_Form.xlsx
Heart Transplant Candidate Registration (TCR)
Modified
5737
5163
0
Instruction
Form
6
Heart Transplant Candidate Registration_Form_clean.xlsx
Other-Redline
Heart Transplant Recipient Follow Up (6 months)
Modified
4141
1656
0
Instruction
Form
8
Heart Transplant Recipient Follow Up 6 Month_Form.xlsx
Other-Redline
Heart Transplant Recipient Follow Up 1-5 Year
Modified
16272
14645
0
Instruction
Form
9
Heart Transplant Recipient Follow Up 1_5 Year _Form_Clean.xlsx
Other-Redline
Heart Transplant Recipient Follow Up Post 5 Year
Modified
27376
13688
0
Instruction
Form
10
Heart Transplant Recipient Follow Up Post 5 Year_Form_Clean.xlsx
Other-Redline
Heart Transplant Recipient Registration (TRR)
Modified
4545
8908
0
Instruction
Form
7
Heart Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Heart/Lung Post Transplant Malignancy (PTM) Form
Modified
16
6
0
Instruction
Form
23
HeartLung Post Transplant Malignancy_Form.xlsx
Heart/Lung Recipient Registration
Modified
54
113
0
Instruction
Form
19
Heart/Lung Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Heart/Lung Transplant Candidate Registration (TCR)
Modified
74
86
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
177
195
0
Instruction
Form
21
Heart/Lung Transplant Recipient Follow Up 1_5 Year_Form.xlsx
Other-Redline
Heart/Lung Transplant Recipient Follow Up 6 Month (TRF)
Modified
46
37
0
Instruction
Form
20
Heart/Lung Transplant Recipient Follow Up 6 Month_Form.xlsx
Other-Redline
Heart/Lung Transplant Recipient Follow Up Post 5 Year (TRF)
Modified
241
145
0
Instruction
Form
22
Heart/Lung Transplant Recipient Follow Up Post 5 Year_Form.xlsx
Other-Redline
Initial Donor Registration
Modified
23224
107063
0
Instruction
Form
63
Initial Donor Registration
Other-redline
Interim Event Reporting Form
New
18000
1080
0
Form
153
Interim Event Reporting Form
Instruction
Intestinal Waiting Time Reinstatement Form
New
0
0
0
Form
105
Intestinal Waiting Time Reinstatement Form
Instruction
Intestine Post Transplant Malignancy (PTM) Form
Modified
17
17
0
Instruction
Form
34
Intestine Post Transplant Malignancy_Form.xlsx
Intestine Transplant Candidate Registration (TCR)
Modified
135
176
0
Instruction
Form
30
Intestine Transplant Candidate Registration_Form_clean.xlsx
Other-Redline
Intestine Transplant Recipient Follow Up 6 Month -5 Year (TRF)
Modified
387
581
0
Instruction
Form
32
Intestine Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
Other-Redline
Intestine Transplant Recipient Follow Up Post 5 Year (TRF)
Modified
893
357
0
Instruction
Form
33
Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
Other-Redline
Intestine Transplant Recipient Registration (TRR)
Modified
95
171
0
Instruction
Form
31
Intestine Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Kidney Minimum Acceptance Criteria
New
107
32
0
Form
107
Kidney Minimum Acceptance Criteria
Instruction
Kidney Paired Donation Candidate Registration
Modified
53
14
0
Instruction
Form
55
Kidney Paired Donation Candidate Registration_Form_clean.xlsx
Other-redline
Kidney Paired Donation Donor Registration
Modified
154
166
0
Instruction
Form
56
Kidney Paired Donation Donor Registration_Form_clean.xlsx
Other-redline
Kidney Paired Donation Match Offer Management
Modified
92
62
0
Instruction
Form
57
Kidney Paired Donation Match Offer Management_Form.xlsx
Kidney Post Transplant Malignancy (PTM) Form
Modified
5837
4670
0
Instruction
Form
39
Kidney Post Transplant Malignancy_Form.xlsx
Kidney Transplant Candidate Registration (TCR)
Modified
46311
37049
0
Instruction
Form
35
Kidney Transplant Candidate Registration_Form_clean.xlsx
Other-Redline
Kidney Transplant Recipient Follow Up 6 Month -5 Year (TRF)
Modified
130238
117214
0
Instruction
Form
37
Kidney Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
Other-Redline
Kidney Transplant Recipient Follow Up Post 5 Year (TRF)
Modified
128955
64478
0
Instruction
Form
38
Kidney Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
Other-Redline
Kidney Transplant Recipient Registration (TRR)
Modified
27335
32802
0
Instruction
Form
36
Kidney Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Kidney/Pancreas Post Transplant Malignancy (PTM) Form
Modified
276
110
0
Instruction
Form
49
Kidney/Pancreas Post Transplant Malignancy_Form.xlsx
Kidney/Pancreas Transplant Candidate Registration (TCR)
Modified
1592
955
0
Instruction
Form
45
Kidney/Pancreas Transplant Candidate Registration_Form_clean.xlsx
Other-Redline
Kidney/Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)
Modified
4689
2345
0
Instruction
Form
47
Kidney/Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
Other-Redline
Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)
Modified
8195
4917
0
Instruction
Form
48
Kidney/Pancreas Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
Other-redline
Kidney/Pancreas Transplant Recipient Registration (TRR)
Modified
811
973
0
Instruction
Form
46
Kidney/Pancreas Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form
New
60
26
0
Form
111
Liver Cholangiocarcinoma (CCA) Initial MELD/PELD Score Exception Form
Instruction
Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form
New
48
15
0
Instruction
Form
112
Liver Cholangiocarcinoma (CCA) MELD/PELD Score Exception Extension Form
Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form
New
14
5
0
Form
113
Liver Cystic Fibrosis (CF) Initial MELD/PELD Score Exception and Extension Form
Instruction
Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form
New
6
2
0
Instruction
Form
114
Liver Familial Amyloid Polyneuropathy (FAP) Initial MELD/PELD Score Exception Form
Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form
New
7
2
0
Form
115
Liver Familial Amyloid Polyneuropathy (FAP) MELD/PELD Score Exception Extension Form
Instruction
Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form
New
98
34
0
Instruction
Form
116
Liver Hepatic Artery Thrombosis (HAT) Initial MELD/PELD Score Exception and Extension Form
Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form
New
3309
1555
0
Form
117
Liver Hepatocellular Carcinoma (HCC) Initial MELD/PELD Score Exception Form
Instruction
Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form
New
4716
1651
0
Instruction
Form
118
Liver Hepatocellular Carcinoma (HCC) MELD/PELD Score Exception Extension Form
Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form
New
197
63
0
Form
119
Liver Hepatopulmonary Syndrome (HPS) Initial MELD/PELD Score Exception Form
Instruction
Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form
New
141
35
0
Instruction
Form
120
Liver Hepatopulmonary Syndrome (HPS) MELD/PELD Score Exception Extension Form
Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form
New
109
31
0
Form
121
Liver Metabolic Disease Initial MELD/PELD Score Exception and Extension Form
Instruction
Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form
New
1708
598
0
Form
125
Liver Other Diagnosis Initial MELD/PELD Score Exception and Extension Form
Instruction
Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form
New
72
30
0
Instruction
Form
122
Liver Portopulmonary Hypertension Initial MELD/PELD Score Exception Form
Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form
New
51
17
0
Form
123
Liver Portopulmonary Hypertension MELD/PELD Score Exception Extension Form
Instruction
Liver Post Transplant Malignancy (PTM) Form
Modified
3012
2410
0
Instruction
Form
29
Liver Post Transplant Malignancy_Form.xlsx
Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form
New
18
6
0
Instruction
Form
124
Liver Primary Hyperoxaluria Initial MELD/PELD Score Exception and Extension Form
Liver Recipient Explant Pathology Form
Modified
1018
611
0
Instruction
Form
28
Liver Explant Pathology Form.xlsx
Other-Redline
Liver Transplant Candidate Registration (TCR)
Modified
14681
11745
0
Instruction
Form
24
Liver Transplant Candidate Registration_Form.xlsx
Other-Redline
Liver Transplant Recipient Follow Up 6 Month -5 Year (TRF)
Modified
48926
48926
0
Instruction
Form
26
Liver Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
Other-Redline
Liver Transplant Recipient Follow Up Post 5 Year (TRF)
Modified
60714
30357
0
Instruction
Form
27
Liver Transplant Recipient Follow Up Post 5 Year_Form_clean.xlsx
Other-Redline
Liver Transplant Recipient Registration (TRR)
Modified
10661
12793
0
Instruction
Form
25
Liver Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Living Donor Event
Modified
31
17
0
Instruction
Form
59
Living Donor Event_Form.xlsx
Living Donor Feedback Form
New
7810
1015
0
Form
149
Living Donor Feedback Form
Instruction
Living Donor Follow-up (LDF)
Modified
19636
29847
0
Form
3
Living Donor Follow-Up Form
Other-Redline
Instruction
Living Donor Registration (LDR)
Modified
6918
15150
0
Instruction
Form
2
Living Donor Registration Form
Other-Redline
Lung - Post Transplant Malignancy (PTM) Form
Modified
1361
544
0
Instruction
Form
17
Lung Post Transplant Malignancy_Form.xlsx
Lung Transplant Candidate Registration (TCR)
Modified
3357
3189
0
Instruction
Form
12
Lung Transplant Candidate Registration_Form
Other-Redline
Lung Transplant Recipient Follow Up 1-5 Year (TRF)
Modified
10035
11039
0
Instruction
Form
15
Lung Transplant Recipient Follow Up 1_5 Year_Form
Other-Redline
Lung Transplant Recipient Follow Up 6 Month (TRF)
Modified
2661
1331
0
Instruction
Form
14
Lung Transplant Recipient Follow Up 6 Month_Form.xlsx
Other-Redline
Lung Transplant Recipient Follow Up Post 5 Year (TRF)
Modified
10959
6575
0
Instruction
Form
16
Lung Transplant Recipient Follow Up Post 5 Year_Form
Other-Redline
Lung Transplant Recipient Registration (TRR)
Modified
3023
3446
0
Instruction
Form
13
Lung Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Non-US Transplants Reporting Form
New
0
0
0
Form
151
Non-US Transplants Reporting Form
Instruction
OPO Notification Limit Administration
Modified
533
91
0
Instruction
Form
64
OPO Notification Limit Administration
OPTN Pancreas Waiting Time Reinstatement Form
New
4
1
0
Instruction
Form
104
OPTN Pancreas Waiting Time Reinstatement Form
OPTN Renal Waiting Time Reinstatement Form
New
276
75
0
Form
103
Renal Waiting Time Reinstatement Form
Instruction
OPTN Waiting Time Modification Form
New
14731
3241
0
Instruction
Form
102
OPTN Waiting Time Modification Form
OPTN Waiting Time Transfer Form
New
1374
316
0
Form
101
OPTN Waiting Time Transfer Form
Instruction
Organ Export Verification Form
New
26
1
0
Form
100
Organ Export Verification Form
Instruction
Organ Labeling and Packaging System
Modified
16703
3007
0
Instruction
Form
53
Organ Labeling and Packaging_Form.xlsx
Organ Tracking and Validating System
Modified
6189
495
0
Instruction
Form
54
Organ Tracking and Validating_Form.xlsx
Pancreas Post Transplant Malignancy (PTM) Form
Modified
93
56
0
Instruction
Form
44
Pancreas Post Transplant Malignancy_Form.xlsx
Pancreas Transplant Candidate Registration (TCR)
Modified
323
194
0
Instruction
Form
40
Pancreas Transplant Candidate Registration_Form_clean.xlsx
Other-Redline
Pancreas Transplant Recipient Follow Up 6 Month -5 Year (TRF)
Modified
621
311
0
Instruction
Form
42
Pancreas Transplant Recipient Follow Up 6 Month_5 Year_Form_clean.xlsx
Other-Redline
Pancreas Transplant Recipient Follow Up Post 5 Year (TRF)
Modified
2105
1053
0
Instruction
Form
43
Pancreas Transplant Recipient Follow Up Post 5 Year_ Form_clean.xlsx
Other-redline
Pancreas Transplant Recipient Registration (TRR)
Modified
103
124
0
Instruction
Form
41
Pancreas Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
Pediatric Heart Candidate Listing Registration
New
734
426
0
Instruction
Form
84
Pediatric Heart Candidate Listing Registration
Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms
New
3495
1643
0
Form
127
Pediatric Heart and HeartLung Status 1A Extension and Appeal Justification Forms
Instruction
Pediatric Heart and HeartLung Status 1A Initial Justification Form
New
1028
535
0
Instruction
Form
126
Pediatric Heart and HeartLung Status 1A Initial Justification Form
Pediatric Heart and HeartLung Status 1B Initial Justification Form
New
468
197
0
Instruction
Form
128
Pediatric Heart and HeartLung Status 1B Initial Justification Form
Pediatric HeartLung Candidate Listing Registration
New
4
4
0
Instruction
Form
86
Pediatric HeartLung Candidate Listing Registration
Pediatric Intestine Candidate Listing Registration
New
46
20
0
Form
82
Pediatric Intestine Candidate Listing Registration
Instruction
Pediatric Kidney Candidate Listing Registration
New
1178
554
0
Form
72
Pediatric Kidney Candidate Listing Registration Form
Instruction
Pediatric Kidney Pancreas Candidate Listing Registration
New
2
1
0
Form
74
Pediatric Kidney Pancreas Candidate Listing Registration
Instruction
Pediatric Liver Candidate Listing Registration
New
705
282
0
Form
80
Pediatric Liver Candidate Listing Registration
Instruction
Pediatric Liver Status 1A Initial Justification and Extension Form
New
131
75
0
Form
109
Pediatric Liver Status 1A Initial Justification and Extension Form
Instruction
Pediatric Liver Status 1B Initial Justification and Extension Form
New
320
150
0
Instruction
Form
110
Pediatric Liver Status 1B Initial Justification and Extension Form
Pediatric Lung Candidate Listing Registration
New
38
32
0
Instruction
Form
88
Pediatric Lung Candidate Listing Registration
Pediatric Lung Priority 1 Status Justification Form
New
52
17
0
Form
147
Pediatric Lung Priority 1 Status Justification Form
Instruction
Pediatric Pancreas Candidate Listing Registration
New
34
13
0
Form
76
Pediatric Pancreas Candidate Listing Registration
Instruction
Pediatric Pancreas Islet Listing Registration
New
0
0
0
Form
78
Pediatric Pancreas Islet Listing Registration
Instruction
Potential Disease Transmission Report
Modified
621
789
0
Instruction
Form
61
Potential Disease Transmission Report_Form.xlsx
Potential Transplant Recipient
Modified
1829393
91470
0
Instruction
Form
65
Potential Transplant Recipient
Other-Redline
Prior Living Donor Priority
New
57
15
0
Instruction
Form
106
Prior Living Donor Priority
Recipient Histocompatibility Form
Modified
42378
16951
0
Instruction
Form
5
Recipient Histocompatibility_Form._Clean.xlsx
Other-Redline
Request to Unlock Form
Modified
77204
1544
0
Instruction
Form
62
Request to Unlock Form_Form.xlsx
Review Board Voter Form
New
5570
1281
0
Instruction
Form
148
Review Board Voter Form
Safety Situation
Modified
411
99
0
Instruction
Form
60
Safety Situation_Form.xlsx
Other-Redline
Transplant Center Contact Management
Modified
200409
12025
0
Instruction
Form
70
Transplant Center Contact Management
VCA Abdominal Wall Candidate Listing Registration
New
3
1
0
Instruction
Form
90
VCA Abdominal Wall Candidate Listing Registration
VCA External Male Genitalia Candidate Listing Registration
New
0
0
0
Form
91
VCA Head and Neck Candidate Listing Registration
Instruction
VCA Head and Neck Candidate Listing Registration
New
5
2
0
Form
92
VCA Head and Neck Candidate Listing Registration
Instruction
VCA Lower Limb Candidate Listing Registration
New
0
0
0
Instruction
Form
93
VCA Lower Limb Candidate Listing Registration
VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration
New
0
0
0
Form
94
VCA Musculoskeletal Composite Graft Segment Candidate Listing Registration
Instruction
VCA Other Genitourinary Organ Candidate Listing Registration
New
0
0
0
Instruction
Form
95
VCA Other Genitourinary Organ Candidate Listing Registration
VCA Spleen Candidate Listing Registration
New
0
0
0
Form
96
VCA Spleen Candidate Listing Registration
Instruction
VCA Transplant Candidate Registration (TCR)
Modified
23
9
0
Instruction
Form
50
VCA Transplant Candidate Registration_Form.xlsx
Other-Redline
VCA Transplant Recipient Follow Up (TRF)
Modified
53
69
0
Instruction
Form
52
VCA Transplant Recipient Follow Up_Form_clean.xlsx
Other-redline
VCA Transplant Recipient Registration (TRR)
Modified
9
12
0
Instruction
Form
51
VCA Transplant Recipient Registration_Form_clean.xlsx
Other-Redline
VCA Upper Limb Candidate Listing Registration
New
3
1
0
Instruction
Form
97
VCA Upper Limb Candidate Listing Registration
VCA Uterus Candidate Listing Registration
New
12
4
0
Form
98
VCA Uterus Candidate Listing Registration
Instruction
VCA Vascularized Gland Candidate Listing Registration
New
0
0
0
Instruction
Form
99
VCA Vascularized Gland Candidate Listing Registration
Total burden requested under this ICR:
3184246
851578
0
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