Living Donor Follow-up (LDF)

Data System for Organ Procurement and Transplantation Network

Documents and Forms

Document Name Document Type
Living Donor Follow Up LDF Instructions.docx Instruction
Living Donor Follow Up LDF Instructions.docx Instruction
Living Donor Follow Up_Form_redline.xlsx Other-Redline
Living Donor Follow Up_Form_redline.xlsx Other-Redline
3 Living Donor Follow Up_Form_Clean.xlsx Living Donor Follow Up_Form_clean.xlsx Form
3 Living Donor Follow Up_Form_Clean.xlsx Living Donor Follow Up_Form_clean.xlsx Form

Information Collection (IC) Details

IC Title:	Living Donor Follow-up (LDF)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Living Donor Follow Up LDF Instructions.docx	Yes	Yes	Fillable Fileable
Form	3	Living Donor Follow Up_Form_Clean.xlsx	Living Donor Follow Up_Form_clean.xlsx	Yes	Yes	Fillable Fileable
Other-Redline			Living Donor Follow Up_Form_redline.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Privacy Act System of Records Notice #09-15-0055	FR Citation: 87 FR 46967

Number of Respondents: 216	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	19,559	890	18,669
Annual IC Time Burden (Hours)	29,730	5,460	24,270
Annual IC Cost Burden (Dollars)	0	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.