Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Additional Surgeon and Physician Request Form Modified 311 261 0 Form and Instruction 19
HOPE Act Variance Request Form Modified 2 1 0 Form and Instruction 20
Information Security Contact Management Form New 675 128 0 Form and Instruction 23
Kidney Paired Donation Pilot Program (KPDPP) contact update Form Modified 29 16 0 Form and Instruction 21
OPTN Business Membership Application Modified 9 14 0 Form and Instruction 14
OPTN Individual Membership Application Modified 10 15 0 Form and Instruction 15
OPTN Medical Scientific Membership Application Modified 2 3 0 Form and Instruction 12
OPTN Membership Application Islet Transplant Program Modified 2 16 0 Form and Instruction 7
OPTN Membership Application Surgeon or Physician Log New 0 0 0 Form and Instruction 22
OPTN Membership Application for Heart Transplant Program Modified 39 656 0 Form and Instruction 5
OPTN Membership Application for Histocompatibility Labs Modified 31 115 0 Form and Instruction 10
OPTN Membership Application for Intestine Transplant Programs Modified 4 44 0 Form and Instruction 9
OPTN Membership Application for Kidney Transplant Programs Modified 80 548 0 Form and Instruction 2
OPTN Membership Application for Liver Transplant Progrms Modified 67 388 0 Form and Instruction 3
OPTN Membership Application for Lung Transplant Program Modified 17 98 0 Form and Instruction 6
OPTN Membership Application for OPOs Modified 10 183 0 Form and Instruction 11
OPTN Membership Application for Pancreas Transplant Programs Modified 30 174 0 Form and Instruction 4
OPTN Membership Application for Transplant Hospitals and Programs Modified 35 426 0 Form and Instruction 1
OPTN Membership Application for Vascularized Composite Allograft (VCA) Transplant Programs Modified 13 309 0 Form and Instruction 8
OPTN Public Organization Membership Application Modified 4 8 0 Form and Instruction 13
OPTN Representative Form Modified 135 58 0 Form and Instruction 16
Primary Data Coordinator Form Modified 93 40 0 Form and Instruction 17
Primary Program Administrator Form Modified 101 45 0 Form and Instruction 18
Total burden requested under this ICR: 1699 3546 0  
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