OPOs

Tissue and Organ Donor Epidemiology Study (TODES)

Documents and Forms

Document Name Document Type
0990-Attachment 1_ListofParticipatingOrgs_07_03_14.docx Other-survey
0990-Attachment_2_Organ and Tissue Variables from OPOs_8_07_14_V_1.0.docx Other-form

Information Collection (IC) Details

IC Title:	OPOs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			0990-Attachment 1_ListofParticipatingOrgs_07_03_14.docx		No		Printable Only
Other-form			0990-Attachment_2_Organ and Tissue Variables from OPOs_8_07_14_V_1.0.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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