Candidate Registration Listing Removal

Data System for Organ Procurement and Transplantation Network

Documents and Forms

Document Name Document Type
Form 89 Candidate Registration Listing Removal Form
89. Candidate Registration Listing Removal_Instructions.docx Instruction
89 Candidate Registration Listing Removal 89. Candidate Registration Listing Removal Form_Form.xlsx Form

Information Collection (IC) Details

IC Title:	Candidate Registration Listing Removal	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	89	Candidate Registration Listing Removal	89. Candidate Registration Listing Removal Form_Form.xlsx		Yes	Yes	Fillable Fileable
Instruction			89. Candidate Registration Listing Removal_Instructions.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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

Number of Respondents: 248	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 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	71,739	71,739
Annual IC Time Burden (Hours)	12,913	12,913
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.