Heart/Lung Post Transplant Malignancy (PTM) Form

Data System for Organ Procurement and Transplantation Network

OMB: 0915-0157

IC ID: 226431

Information Collection (IC) Details

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Heart/Lung Post Transplant Malignancy (PTM) Form
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction HeartLung Post Transplant Maligancy_Instructions.docx Yes Yes Fillable Fileable
Form 23 Heart/Lung Post Transplant Malignancy_Form.xlsx HeartLung Post Transplant Malignancy_Form.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

69 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 21 0 0 0 0 21
Annual IC Time Burden (Hours) 8 0 0 0 0 8
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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