View Information Collection (IC)

View Information Collection (IC)

OPTN- Thoracic Follow-up
 
No Removed
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Thoracic Heart Adult 6 month Follow-up Thoracic Heart Adult 6 Month Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Form 2 Thoracic Heart Adult Post 5 year Thoracic Heart Adult Post 5 Year Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Form 5 Thoracic Heart Pediatric Post 5 Follow Up Thoracic Heart Pediatric Post 5 Year Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Form 7 Thoracic Heart Lung Adult Six month Thoracic Heart-Lung Adult 6 Month Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Form 8 Thoracic Heart Lung Adult Post 5 Thoracic Heart-Lung Adult Post 5 Year Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Form 11 Thoracic Heart Lung Pediatric Post 5 Thoracic Heart-Lung Pediatric Post 5 Year Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Form 13 Thoracic Lung Adult 6 month Follow UP Thoracic Lung Adult 6 Month Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Form 14 Thoracic Lung Adult Post 5 Follow Up Thoracic Lung Adult Post 5 Year Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Form 17 Thoracic Lung Pediatric Post 5 Thoracic Lung Pediatric Post 5 Year Transplant Recipient Follow Up Worksheet.pdf Yes Yes Fillable Fileable
Instruction Thoracic 6 Month Transplant Recipient Follow Up Instructions.pdf Yes No Printable Only
Instruction Thoracic Post 5 Year Transplant Recipient Follow Up Instructions.pdf Yes No Printable Only
Instruction Thoracic Transplant Recipient Follow Up Instructions.pdf Yes No Printable Only
Form 3 Thoracic Heart Adult Transplant Recipient Follow Up Thoracic_Heart_Adult_Transplant_Recipient_Follow_Up_Worksheet[1].pdf Yes Yes Fillable Fileable
Form 4 Thoracic Heart Pediatric 6 Month Transplant Recipient Follow Up Thoracic_Heart_Pediatric_6_Month_Transplant_Recipient_Follow_Up_Worksheet[1].pdf Yes Yes Fillable Fileable
Form 6 Thoracic Heart Pediatric Transplant Recipient Follow Up Thoracic_Heart_Pediatric_Transplant_Recipient_Follow_Up_Worksheet[1].pdf Yes No Fillable Fileable
Form 9 Thoracic Heart Lung Adult Transplant Recipient Follow Up Thoracic_Heart-Lung_Adult_Transplant_Recipient_Follow_Up_Worksheet[1].pdf Yes Yes Fillable Fileable
Form 10 Thoracic Heart Lung Pediatric 6 Month Transplant Recipient Follow Up Thoracic_Heart-Lung_Pediatric_6_Month_Transplant_Recipient_Follow_Up_Worksheet[1].pdf Yes Yes Fillable Fileable
Form 12 Thoracic Heart Lung Pediatric Transplant Recipient Follow Up Thoracic_Heart-Lung_Pediatric_Transplant_Recipient_Follow_Up_Worksheet[1].pdf Yes Yes Fillable Fileable
Form 15 Thoracic Lung Adult Transplant Recipient Follow Up Thoracic_Lung_Adult_Transplant_Recipient_Follow_Up_Worksheet[1].pdf Yes Yes Fillable Fileable
Form 16 Thoracic Lung Pediatric 6 Month Transplant Recipient Follow Up Thoracic_Lung_Pediatric_6_Month_Transplant_Recipient_Follow_Up_Worksheet.pdf Yes Yes Fillable Fileable
Form 18 Thoracic Lung Pediatric Transplant Recipient Follow Up Thoracic_Lung_Pediatric_Transplant_Recipient_Follow_Up_Worksheet[1].pdf Yes Yes Fillable Fileable

Health Health Care Services

 

131 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -36,287 0 0 36,287
Annual IC Time Burden (Hours) 0 0 -23,587 0 0 23,587
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.