This is a request for OMB approval for
revisions of the application documents used to collect information
for determining if the interested party is compliant with
membership requirements contained in the final rule Governing the
Operation of the Organ Procurement and Transplantation Network
(OPTN), (42 CFR part 121) ‘‘the OPTN final rule.’’ Respondents
include: hospitals seeking to perform organ transplants, non-profit
organizations seeking to become an organ procurement organization,
and medical laboratories seeking to become an OPTN-approved
histocompatibility laboratory.
US Code:
42
USC 273 Name of Law: National Organ Transplant Act of 1984
US Code: 42
USC 1138 Name of Law: Hospital Protocols for Organ Procurement
and Standards for Organ Procurement Agencies
Burden decrease due to less
forms and less average burden per response; burden increase due to
an increase in respondents.
$345,000
No
No
No
No
No
No
No
Elyana Bowman 301 443-3983
enadjem@hrsa.gov
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:
(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;
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.
Form 17 OPTN Individual Membership Application
FINAL Supporting Statement - 0915-0184.docx
60-Day OPTN FRN OMB No. 0915-0184.Published.pdf
Names_Crosswalk.xlsx
OPTN Individual Membership Application