View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Ventilated Patient Form
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable

Health Health Care Services

Privacy Act System of Records  87 FR 46967

56 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 105,095 0 105,095 0 0 0
Annual IC Time Burden (Hours) 38,885 0 38,885 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
REDLINE Ventilated Patient Form OPTN Data Process 0906-NEW 11202025 12/01/2025
REDLINE Ventilated Patient Form Instructions - OPTN Process Data 0906-NEW 11202025 12/01/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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