View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0915-0184
ICR Reference No:
201102-0915-005
Status:
Historical Active
Previous ICR Reference No:
200712-0915-001
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
Organ Procurement and Transplantation Network
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
04/25/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/24/2011
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2014
36 Months From Approved
04/30/2011
Responses
36,868
0
36,788
Time Burden (Hours)
23,503
0
23,503
Cost Burden (Dollars)
0
0
41,446
Abstract:
The final rule of the Organ Procurement and Transplantation Network (OPTN) established the final policies governing the OPTN. This ICR contains application requirements outlined in the rule regarding application procedures and policies of the OPTN and membership, designation, and transplant program requirements. This submission contains burden associated with the final rule for application for membership in the OPTN and requirements for membership, including compliance with OPTN policies and bylaws.
Authorizing Statute(s):
US Code:
42 USC 273
Name of Law: National Organ Transplant Act
US Code:
42 USC 1138
Name of Law: Hospital Protocols for Organ Procurement and Standards for Organ Procurement Agencies
US Code:
42 USC 274
Name of Law: Organ Procurement and Transplantation Network
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
75 FR 63187
10/14/2010
30-day Notice:
Federal Register Citation:
Citation Date:
76 FR 9584
02/18/2011
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
9
IC Title
Form No.
Form Name
OPTN Appeal for Designation
OPTN Appeal for Membership
OPTN Designated Transplant Program Requirements
OPTN Non-Institutional Application
2, 1, 3, 4
G_medical_scientific_app
,
Business_Member_app
,
Public_organ_app
,
Individual_member_app
OPTN Personnel Change Application
1
F_Cover_Instructions_Personnel
OPTN Reasons for Refusal
OPTN Transplant to Prevent Organ Wastage
OPTN criteria reporting and disclosure
Organ Procurement and Transplantation Network Application
0, 0, 1, 4, 2, 3, 5, 6, 7, 8, 9, 10, 11, 13, 14, 15
0
,
0
,
A1_Full_App_Cover_Instructions
,
A4_LI_LDL_combined_app
,
A2_part_1_2_General_facility
,
A3_KI_LDK_Combined_app
,
A5_PA_app
,
A6_HR_App
,
A7_LU_App
,
C_OPO_App
,
A8_HL_App
,
A9_PI_App
,
A10_OPO_Inhouse
,
A12_Lab_section_part_6
,
E_Lab_Independent_app
,
B2_NewLDL_only_Cover_instructions
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
36,868
36,788
0
0
80
0
Annual Time Burden (Hours)
23,503
23,503
0
0
0
0
Annual Cost Burden (Dollars)
0
41,446
0
0
-41,446
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Gerta Bardhoshi 301 443-1129 GBardhoshi@hrsa.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
02/24/2011
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