Organ Procurement and Transplantation Network Application Form

OMB 0915-0184

OMB 0915-0184

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.

The latest form for Organ Procurement and Transplantation Network Application Form expires 2023-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material
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Justification for No Material/Nonsubstantive Change
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All Historical Document Collections
No material or nonsubstantive change to a currently approved collection 2024-10-08
Approved without change
No material or nonsubstantive change to a currently approved collection 2023-10-13
Approved without change
Revision of a currently approved collection 2022-11-28
Approved with change
No material or nonsubstantive change to a currently approved collection 2021-06-02
Approved without change
Revision of a currently approved collection 2020-06-29
Approved without change
No material or nonsubstantive change to a currently approved collection 2019-06-05
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-02-28
Approved without change
Revision of a currently approved collection 2017-05-12
Approved with change
Revision of a currently approved collection 2014-03-17
Approved without change
Revision of a currently approved collection 2011-02-24
Approved without change
Revision of a currently approved collection 2007-12-13
Approved without change
Revision of a currently approved collection 2004-06-07
Approved without change
Revision of a currently approved collection 2001-05-10
Approved without change
Revision of a currently approved collection 1998-03-27
Approved without change
New collection (Request for a new OMB Control Number) 1994-09-26
OMB Details

OPTN Membership Application for Transplant Hospitals

Federal Enterprise Architecture: Health - Health Care Services

Form 1Membership_Transplant Hospital_General Form.docx Fillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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