Notice2025-11668

Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Data System for Organ Procurement and Transplantation Network

Primary source

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Published
June 25, 2025

Issuing agencies

Health and Human Services DepartmentHealth Resources and Services Administration

Abstract

In compliance with the Paperwork Reduction Act of 1995, HRSA submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period. OMB may act on HRSA's ICR only after the 30-day comment period for this notice has closed.

Full Text

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<title>Federal Register, Volume 90 Issue 120 (Wednesday, June 25, 2025)</title>
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[Federal Register Volume 90, Number 120 (Wednesday, June 25, 2025)]
[Notices]
[Pages 27037-27042]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-11668]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request; Data System for Organ 
Procurement and Transplantation Network

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services (HHS).

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA 
submitted an Information Collection Request (ICR) to the Office of 
Management and Budget (OMB) for review and approval. Comments submitted 
during the first public review of this ICR will be provided to OMB. OMB 
will accept further comments from the public during the review and 
approval period. OMB may act on HRSA's ICR only after the 30-day 
comment period for this notice has closed.

DATES: Comments on this ICR should be received no later than July 25, 
2025.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular 
information collection by selecting ``Currently under Review--Open for 
Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email Samantha Miller, HRSA 
Information Collection Clearance Officer, at <a href="/cdn-cgi/l/email-protection#4a3a2b3a2f383d2538210a2238392b642d253c"><span class="__cf_email__" data-cfemail="740415041106031b061f341c0607155a131b02">[email&#160;protected]</span></a> or call 
(301) 443-3983.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Data System for Organ 
Procurement and Transplantation Network, OMB No. 0915-0157--Revision.
    Abstract: Section 372 of the Public Health Service Act requires 
that the Secretary of HHS, by award, provide for the establishment and 
operation of the Organ Procurement and Transplantation Network (OPTN), 
which, under oversight of the HRSA, operates the U.S. Organ Procurement 
and Transplantation system. HRSA, in alignment with the Paperwork 
Reduction Act of 1995, submits OPTN Board of Directors (BOD)-approved 
data elements for collection to OMB for approval.
    A 60-day notice was published in the Federal Register on November 
1, 2024, Vol. 89, No. 212, pp. 87380-85. There were six comments, 
including feedback from OPTN Members and Transplant Centers. Public 
comments raised concerns about the financial burden of additional data 
collection. The commenters called for greater collaboration between 
transplant professionals, HRSA, and the Scientific Registry of 
Transplant Recipients to eliminate redundancies and improve efficiency. 
Commenters expressed concern that changes were communicated via the 
Federal Register instead of the OPTN public comment process, limiting 
input from the transplant community. Additionally, the commenters 
sought clarification on discrepancies regarding which forms were 
designated as new, and they requested access to the data collection 
plans and draft instruments.
    HRSA carefully reviewed all public feedback submitted during the 
60-day comment period. Through its policy development process, OPTN had 
previously solicited input on each of the data collection instruments 
through four channels:
    (1) Targeted outreach to relevant stakeholder organizations, 
including

[[Page 27038]]

transplant professionals and patient groups.
    (2) Comments submitted by other OPTN committees.
    (3) In-person meetings across 11 OPTN regions.
    (4) An online OPTN public comment forum open to all on the OPTN 
website.
    HRSA welcomes participation from all interested individuals. HRSA 
seeks input from transplant candidates directly affected by policy 
changes and strongly encourages transplant professionals to provide 
input on the potential financial impacts of proposals. HRSA values all 
feedback and remains committed to reviewing and refining data 
collection efforts in collaboration with the OPTN.
    Finally, in response to commenter concerns regarding potential 
burden, the OPTN contract requires the OPTN Contractor to implement a 
direct electronic data submission plan and supplement official OPTN 
data with external sources. This approach aims to reduce the burden of 
data collection on OPTN members.
    Need and Proposed Use of the Information: HRSA and the OPTN BOD use 
data to develop transplant, procurement, and allocation policies; to 
determine whether institutional members are complying with policy; to 
determine member-specific performance; to ensure patient safety; and to 
fulfill the requirements of the OPTN Final Rule. The regulatory 
authority in 42 CFR 121.11 (<a href="https://www.ecfr.gov/current/title-42/section-121.11">https://www.ecfr.gov/current/title-42/section-121.11</a>) of the OPTN Final Rule requires the OPTN data to be 
made available, consistent with applicable laws, for use by OPTN 
members, the Scientific Registry of Transplant Recipients, HHS, and 
members of the public for evaluation, research, patient information, 
and other important purposes.
    This is a request to revise the current OPTN data collection, which 
includes time-sensitive, life-critical data on transplant candidates 
and potential organ donors, the organ matching process, 
histocompatibility results, organ labeling and packaging, and pre- and 
post-transplantation data on recipients and donors. This revision also 
includes OPTN BOD-approved changes to the existing OMB data collection 
forms. OPTN collects these specific data elements from transplant 
hospitals, organ procurement organizations, and histocompatibility 
laboratories.
    HRSA and the OPTN use this information to (1) facilitate organ 
placement and match donor organs with recipients; (2) monitor 
compliance of member organizations with federal laws and regulations 
and with OPTN requirements; (3) review and report periodically to the 
public on the status of organ donation, procurement, and 
transplantation in the United States; (4) provide data to researchers 
and government agencies to study the scientific and clinical status of 
organ transplantation; and (5) perform transplantation-related public 
health surveillance, including the possible transmission of donor 
disease.
    HRSA is requesting to make the following changes to improve the 
OPTN organ matching and allocation process and improve OPTN member 
compliance with OPTN requirements:
    (1) Adding data collection forms for candidates listed in the OPTN 
organ transplant waiting list to the existing OMB-approved information 
collection. These forms allow a transplant center to add, change, or 
remove candidates from the OPTN waiting list after a transplant center 
completes the patient evaluation. These forms contain information that 
the OPTN electronic organ matching system uses to match potential organ 
recipients with available deceased donor organs. There are 83 new data 
collection forms: candidate listing registration forms of all organs, 
candidate status justification forms of all applicable organs, Model 
for End-Stage Liver Disease or Pediatric End-Stage Liver Disease (MELD/
PELD) score exception and extension forms, and other forms.
    (2) OPTN BOD-approved revisions to existing data collection forms 
to improve organ matching, allocation, and OPTN policy compliance.
    Likely Respondents: Transplant Centers, Organ Procurement 
Organizations (OPO), and Histocompatibility Laboratories.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose, or provide the 
information requested. This includes the time needed to review 
instructions; to develop, acquire, install, and utilize technology and 
systems for the purpose of collecting, validating, and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information; to search data sources; to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this ICR are summarized in the table below.
    The estimated burden hours for this collection increased by 
203,937.21 hours from the currently approved ICR package. This increase 
includes 96,148.84 hours due to adding 83 new data collection forms for 
the OPTN waiting list and 107,788.37 hours due to OPTN BOD-approved 
data collection changes to existing forms and the number of 
respondents.

                                    Total Estimated Annualized Burden--Hours
----------------------------------------------------------------------------------------------------------------
                                                                                          Average
                                         Number of       Number of           Total       burden per     Total
     Form No.           Form name       respondents    responses per       responses      response      burden
                                                     respondent * ****                   (in hours)     hours
----------------------------------------------------------------------------------------------------------------
1................  Deceased Donor                56             414.71       23,223.76         0.48    11,147.40
                    Registration.
2................  Living Donor                 207              33.42        6,917.94         2.19    15,150.29
                    Registration.
3................  Living Donor Follow-         207              94.86       19,636.02         1.52    29,846.75
                    up.
4................  Donor                        138             173.31       23,916.78         0.20     4,783.36
                    Histocompatibility.
5................  Recipient                    138             307.09       42,378.42         0.40    16,951.37
                    Histocompatibility.
6................  Heart Transplant             149              38.50        5,736.50         0.90     5,162.85
                    Candidate
                    Registration.
7................  Heart Transplant             149              30.50        4,544.50         1.96     8,907.22
                    Recipient
                    Registration.
8................  Heart Transplant             149              27.79        4,140.71         0.40     1,656.28
                    Recipient Follow
                    Up (6-month).
9................  Heart Transplant             149             109.21       16,272.29         0.90    14,645.06
                    Recipient Follow
                    Up (1-5 year).
10...............  Heart Transplant             149             183.73       27,375.77         0.50    13,687.89
                    Recipient Follow
                    Up (Post 5 year).
11...............  Heart Post-                  149              12.21        1,819.29         0.90     1,637.36
                    Transplant
                    Malignancy Form.
12...............  Lung Transplant               74              45.36        3,356.64         0.95     3,188.81
                    Candidate
                    Registration.
13...............  Lung Transplant               74              40.85        3,022.90         1.14     3,446.11
                    Recipient
                    Registration.

[[Page 27039]]

 
14...............  Lung Transplant               74              35.96        2,661.04         0.50     1,330.52
                    Recipient Follow
                    Up (6-month).
15...............  Lung Transplant               74             135.61       10,035.14         1.10    11,038.65
                    Recipient Follow
                    Up (1-5 year).
16...............  Lung Transplant               74             148.09       10,958.66         0.60     6,575.20
                    Recipient Follow
                    Up (Post 5 year).
17...............  Lung Post-                    74              18.39        1,360.86         0.40       544.34
                    Transplant
                    Malignancy Form.
18...............  Heart/Lung                    72               1.03           74.16         1.16        86.03
                    Transplant
                    Candidate
                    Registration.
19...............  Heart/Lung                    72               0.75           54.00         2.09       112.86
                    Transplant
                    Recipient
                    Registration.
20...............  Heart/Lung                    72               0.64           46.08         0.80        36.86
                    Transplant
                    Recipient Follow
                    Up (6-month).
21...............  Heart/Lung                    72               2.46          177.12         1.10       194.83
                    Transplant
                    Recipient Follow
                    Up (1-5 year).
22...............  Heart/Lung                    72               3.35          241.20         0.60       144.72
                    Transplant
                    Recipient Follow
                    Up (Post 5 year).
23...............  Heart/Lung Post-              72               0.22           15.84         0.40         6.34
                    Transplant
                    Malignancy Form.
24...............  Liver Transplant             142             103.39       14,681.38         0.80    11,745.10
                    Candidate
                    Registration.
25...............  Liver Transplant             142              75.08       10,661.36         1.20    12,793.63
                    Recipient
                    Registration.
26...............  Liver Transplant             142             344.55       48,926.10         1.00    48,926.10
                    Recipient Follow
                    Up (6-month-5
                    year).
27...............  Liver Transplant             142             427.56       60,713.52         0.50    30,356.76
                    Recipient Follow
                    Up (Post 5 year).
28...............  Liver Recipient              142               7.17        1,018.14         0.60       610.88
                    Explant Pathology
                    Form.
29...............  Liver Post-                  142              21.21        3,011.82         0.80     2,409.46
                    Transplant
                    Malignancy Form.
30...............  Intestine                     18               7.50          135.00         1.30       175.50
                    Transplant
                    Candidate
                    Registration.
31...............  Intestine                     18               5.28           95.04         1.80       171.07
                    Transplant
                    Recipient
                    Registration.
32...............  Intestine                     18              21.50          387.00         1.50       580.50
                    Transplant
                    Recipient Follow
                    Up (6-month-5
                    year).
33...............  Intestine                     18              49.61          892.98         0.40       357.19
                    Transplant
                    Recipient Follow
                    Up (Post 5 year).
34...............  Intestine Post-               18               0.94           16.92         1.00        16.92
                    Transplant
                    Malignancy Form.
35...............  Kidney Transplant            228             203.12       46,311.36         0.80    37,049.09
                    Candidate
                    Registration.
36...............  Kidney Transplant            228             119.89       27,334.92         1.20    32,801.90
                    Recipient
                    Registration.
37...............  Kidney Transplant            228             571.22      130,238.16         0.90   117,214.34
                    Recipient Follow
                    Up (6-month-5
                    year).
38...............  Kidney Transplant            228             565.59      128,954.52         0.50    64,477.26
                    Recipient Follow
                    Up (Post 5 year).
39...............  Kidney Post-                 228              25.60        5,836.80         0.80     4,669.44
                    Transplant
                    Malignancy Form.
40...............  Pancreas Transplant          123               2.63          323.49         0.60       194.09
                    Candidate
                    Registration.
41...............  Pancreas Transplant          123               0.84          103.32         1.20       123.98
                    Recipient
                    Registration.
42...............  Pancreas Transplant          123               5.05          621.15         0.50       310.58
                    Recipient Follow
                    Up (6-month-5
                    year).
43...............  Pancreas Transplant          123              17.11        2,104.53         0.50     1,052.27
                    Recipient Follow
                    Up (Post 5 year).
44...............  Pancreas Post-               123               0.76           93.48         0.60        56.09
                    Transplant
                    Malignancy Form.
45...............  Kidney/Pancreas              123              12.94        1,591.62         0.60       954.97
                    Transplant
                    Candidate
                    Registration.
46...............  Kidney/Pancreas              123               6.59          810.57         1.20       972.68
                    Transplant
                    Recipient
                    Registration.
47...............  Kidney/Pancreas              123              38.12        4,688.76         0.50     2,344.38
                    Transplant
                    Recipient Follow
                    Up (6-month-5
                    year).
48...............  Kidney/Pancreas              123              66.63        8,195.49         0.60     4,917.29
                    Transplant
                    Recipient Follow
                    Up (Post 5 year).
49...............  Kidney/Pancreas              123               2.24          275.52         0.40       110.21
                    Post-Transplant
                    Malignancy Form.
50...............  VCA Transplant                23               1.00           23.00         0.40         9.20
                    Candidate
                    Registration.
51...............  VCA Transplant                23               0.39            8.97         1.36        12.20
                    Recipient
                    Registration.
52...............  VCA Transplant                23               2.30           52.90         1.31        69.30
                    Recipient Follow
                    Up.
53...............  Organ Labeling and            56             298.27       16,703.12         0.18     3,006.56
                    Packaging.
54...............  Organ Tracking and           304              20.36        6,189.44         0.08       495.16
                    Validating.
55...............  Kidney Paired                156               0.34           53.04         0.26        13.79
                    Donation Candidate
                    Registration.
56...............  Kidney Paired                156               0.99          154.44         1.08       166.80
                    Donation Donor
                    Registration.
57...............  Kidney Paired                156               0.59           92.04         0.67        61.67
                    Donation Match
                    Offer Management.
58...............  Disease                      304               2.33          708.32         0.60       424.99
                    Transmission Event.
59...............  Living Donor Event.          207               0.15           31.05         0.56        17.39
60...............  Safety Situation...          442               0.93          411.06         0.24        98.65
61...............  Potential Disease             56              11.09          621.04         1.27       788.72
                    Transmission
                    Report.
62...............  Request to Unlock            442             174.67       77,204.14         0.02     1,544.08
                    Form.
63...............  Initial Donor                 56             414.71       23,223.76         4.61   107,061.53
                    Registration.
64...............  OPO Notification              56               9.52          533.12         0.17        90.63
                    Limit
                    Administration.

[[Page 27040]]

 
65...............  Potential                    304           6,017.74    1,829,392.96         0.05    91,469.65
                    Transplant
                    Recipient.
66...............  Death Notification            56             289.70       16,223.20         0.42     6,813.74
                    Registration **.
67...............  Deceased Donor                56              58.11        3,254.16         0.50     1,627.08
                    Death Referral **.
68...............  Donor Hospital                56               0.04            2.24         0.08         0.18
                    Registration.
69...............  Donor Organ                   56             414.71       23,223.76         0.17     3,948.04
                    Disposition.
70...............  Transplant Center            248             808.10      200,408.80         0.06    12,024.53
                    Contact Management.
71...............  Adult Kidney                 228             204.93       46,724.04         0.52    24,296.50
                    Candidate Listing
                    Registration ***.
72...............  Pediatric Kidney             101              11.66        1,177.66         0.47       553.50
                    Candidate Listing
                    Registration ***.
73...............  Adult Kidney                 123              12.93        1,590.39         0.37       588.44
                    Pancreas Candidate
                    Listing
                    Registration ***.
74...............  Pediatric Kidney              29               0.07            2.03         0.30         0.61
                    Pancreas Candidate
                    Listing
                    Registration ***.
75...............  Adult Pancreas               123              15.29        1,880.67         0.38       714.65
                    Candidate Listing
                    Registration ***.
76...............  Pediatric Pancreas            30               1.13           33.90         0.38        12.88
                    Candidate Listing
                    Registration ***.
77...............  Adult Pancreas                16               2.06           32.96         0.38        12.52
                    Islet Listing
                    Registration ***.
78...............  Pediatric Pancreas            16               0.00            0.00         0.33         0.00
                    Islet Listing
                    Registration ***.
79...............  Adult Liver                  142              98.43       13,977.06         0.32     4,472.66
                    Candidate Listing
                    Registration ***.
80...............  Pediatric Liver               57              12.37          705.09         0.40       282.04
                    Candidate Listing
                    Registration ***.
81...............  Adult Intestine               18               4.94           88.92         0.38        33.79
                    Candidate Listing
                    Registration ***.
82...............  Pediatric Intestine           18               2.56           46.08         0.43        19.81
                    Candidate Listing
                    Registration ***.
83...............  Adult Heart                  149              33.58        5,003.42         0.83     4,152.84
                    Candidate Listing
                    Registration ***.
84...............  Pediatric Heart               64              11.47          734.08         0.58       425.77
                    Candidate Listing
                    Registration ***.
85...............  Adult HeartLung               72               0.97           69.84         0.85        59.36
                    Candidate Listing
                    Registration ***.
86...............  Pediatric HeartLung           27               0.15            4.05         0.93         3.77
                    Candidate Listing
                    Registration ***.
87...............  Adult Lung                    74              44.85        3,318.90         1.00     3,318.90
                    Candidate Listing
                    Registration ***.
88...............  Pediatric Lung                45               0.84           37.80         0.83        31.37
                    Candidate Listing
                    Registration ***.
89...............  Candidate                    248             289.27       71,738.96         0.18    12,913.01
                    Registration
                    Listing Removal
                    ***.
90...............  VCA Abdominal Wall             8               0.38            3.04         0.33         1.00
                    Candidate Listing
                    Registration ***.
91...............  VCA External Male              2               0.00            0.00         0.33         0.00
                    Genitalia
                    Candidate Listing
                    Registration ***.
92...............  VCA Head and Neck             10               0.50            5.00         0.33         1.65
                    Candidate Listing
                    Registration ***.
93...............  VCA Lower Limb                 4               0.00            0.00         0.33         0.00
                    Candidate Listing
                    Registration ***.
94...............  VCA Musculoskeletal            2               0.00            0.00         0.33         0.00
                    Composite Graft
                    Segment Candidate
                    Listing
                    Registration ***.
95...............  VCA Other                      3               0.00            0.00         0.33         0.00
                    Genitourinary
                    Organ Candidate
                    Listing
                    Registration ***.
96...............  VCA Spleen                     0               0.00            0.00         0.33         0.00
                    Candidate Listing
                    Registration ***.
97...............  VCA Upper Limb                11               0.27            2.97         0.33         0.98
                    Candidate Listing
                    Registration ***.
98...............  VCA Uterus                     6               2.00           12.00         0.33         3.96
                    Candidate Listing
                    Registration ***.
99...............  VCA Vascularized               8               0.00            0.00         0.33         0.00
                    Gland Candidate
                    Listing
                    Registration ***.
100..............  Organ Export                  56               0.46           25.76         0.03         0.77
                    Verification Form
                    ***.
101..............  OPTN Waiting Time            248               5.54        1,373.92         0.23       316.00
                    Transfer Form ***.
102..............  OPTN Waiting Time            248              59.40       14,731.20         0.22     3,240.86
                    Modification Form
                    ***.
103..............  OPTN Renal Waiting           228               1.21          275.88         0.27        74.49
                    Time Reinstatement
                    Form ***.
104..............  OPTN Pancreas                123               0.03            3.69         0.20         0.74
                    Waiting Time
                    Reinstatement Form
                    ***.
105..............  Intestinal Waiting            18               0.00            0.00         0.25         0.00
                    Time Reinstatement
                    Form ***.
106..............  Prior Living Donor           228               0.25           57.00         0.27        15.39
                    Priority ***.
107..............  Kidney Minimum               228               0.47          107.16         0.30        32.15
                    Acceptance
                    Criteria ***.
108..............  Adult Liver Status           142               2.31          328.02         0.57       186.97
                    1A Initial
                    Justification and
                    Extension Form ***.
109..............  Pediatric Liver               57               2.30          131.10         0.57        74.73
                    Status 1A Initial
                    Justification and
                    Extension Form ***.
110..............  Pediatric Liver               57               5.61          319.77         0.47       150.29
                    Status 1B Initial
                    Justification and
                    Extension Form ***.
111..............  Liver                        142               0.42           59.64         0.43        25.65
                    Cholangiocarcinoma
                    (CCA) Initial MELD/
                    PELD Score
                    Exception Form ***.

[[Page 27041]]

 
112..............  Liver                        142               0.34           48.28         0.32        15.45
                    Cholangiocarcinoma
                    (CCA) MELD/PELD
                    Score Exception
                    Extension Form ***.
113..............  Liver Cystic                 142               0.10           14.20         0.33         4.69
                    Fibrosis (CF)
                    Initial MELD/PELD
                    Score Exception
                    and Extension Form
                    ***.
114..............  Liver Familial               142               0.04            5.68         0.40         2.27
                    Amyloid
                    Polyneuropathy
                    (FAP) Initial MELD/
                    PELD Score
                    Exception Form ***.
115..............  Liver Familial               142               0.05            7.10         0.30         2.13
                    Amyloid
                    Polyneuropathy
                    (FAP) MELD/PELD
                    Score Exception
                    Extension Form ***.
116..............  Liver Hepatic                142               0.69           97.98         0.35        34.29
                    Artery Thrombosis
                    (HAT) Initial MELD/
                    PELD Score
                    Exception and
                    Extension Form ***.
117..............  Liver                        142              23.30        3,308.60         0.47     1,555.04
                    Hepatocellular
                    Carcinoma (HCC)
                    Initial MELD/PELD
                    Score Exception
                    Form ***.
118..............  Liver                        142              33.21        4,715.82         0.35     1,650.54
                    Hepatocellular
                    Carcinoma (HCC)
                    MELD/PELD Score
                    Exception
                    Extension Form ***.
119..............  Liver                        142               1.39          197.38         0.32        63.16
                    Hepatopulmonary
                    Syndrome (HPS)
                    Initial MELD/PELD
                    Score Exception
                    Form ***.
120..............  Liver                        142               0.99          140.58         0.25        35.15
                    Hepatopulmonary
                    Syndrome (HPS)
                    MELD/PELD Score
                    Exception
                    Extension Form ***.
121..............  Liver Metabolic              142               0.77          109.34         0.28        30.62
                    Disease Initial
                    MELD/PELD Score
                    Exception and
                    Extension Form ***.
122..............  Liver                        142               0.51           72.42         0.42        30.42
                    Portopulmonary
                    Hypertension
                    Initial MELD/PELD
                    Score Exception
                    Form ***.
123..............  Liver                        142               0.36           51.12         0.33        16.87
                    Portopulmonary
                    Hypertension MELD/
                    PELD Score
                    Exception
                    Extension Form ***.
124..............  Liver Primary                142               0.13           18.46         0.35         6.46
                    Hyperoxaluria
                    Initial MELD/PELD
                    Score Exception
                    and Extension Form
                    ***.
125..............  Liver Other                  142              12.03        1,708.26         0.35       597.89
                    Diagnosis Initial
                    MELD/PELD Score
                    Exception and
                    Extension Form ***.
126..............  Pediatric Heart and           64              16.06        1,027.84         0.52       534.48
                    HeartLung Status
                    1A Initial
                    Justification Form
                    ***.
127..............  Pediatric Heart and           64              54.61        3,495.04         0.47     1,642.67
                    HeartLung Status
                    1A Extension and
                    Appeal
                    Justification
                    Forms ***.
128..............  Pediatric Heart and           64               7.31          467.84         0.42       196.49
                    HeartLung Status
                    1B Initial
                    Justification Form
                    ***.
129..............  Adult Heart and              149             135.78       20,231.22         0.32     6,473.99
                    HeartLung Status 1-
                    6 Justification
                    Form Demographic
                    Data ***.
130..............  Adult Heart and              149             135.78       20,231.22         0.72    14,566.48
                    HeartLung Status 1-
                    6 Justification
                    Form Risk
                    Stratification
                    Data ***.
131..............  Adult Heart and              149               5.69          847.81         0.58       491.73
                    HeartLung Status 1
                    Initial
                    Justification Form
                    Medical Urgency
                    Data ***.
132..............  Adult Heart and              149               0.46           68.54         0.33        22.62
                    HeartLung Status 1
                    Exception
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.
133..............  Adult Heart and              149               0.43           64.07         0.53        33.96
                    HeartLung Status 1
                    Criteria 1
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.
134..............  Adult Heart and              149              25.91        3,860.59         0.80     3,088.47
                    HeartLung Status 2
                    Initial
                    Justification Form
                    Medical Urgency
                    Data ***.
135..............  Adult Heart and              149               9.87        1,470.63         0.33       485.31
                    HeartLung Status 2
                    Exception
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.
136..............  Adult Heart and              149               0.03            4.47         0.42         1.88
                    HeartLung Status 2
                    Criteria 1
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.
137..............  Adult Heart and              149               3.05          454.45         0.63       286.30
                    HeartLung Status 2
                    Criteria 4
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.
138..............  Adult Heart and              149               1.70          253.30         0.60       151.98
                    HeartLung Status 2
                    Criteria 5
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.
139..............  Adult Heart and              149              11.91        1,774.59         0.63     1,117.99
                    HeartLung Status 3
                    Initial
                    Justification Form
                    Medical Urgency
                    Data ***.
140..............  Adult Heart and              149               6.88        1,025.12         0.33       338.29
                    HeartLung Status 3
                    Exception
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.

[[Page 27042]]

 
141..............  Adult Heart and              149               0.64           95.36         0.32        30.52
                    HeartLung Status 3
                    Criteria 2
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.
142..............  Adult Heart and              149               0.11           16.39         0.48         7.87
                    HeartLung Status 3
                    Criteria 5
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.
143..............  Adult Heart and              149              23.51        3,502.99         0.50     1,751.50
                    HeartLung Status 4
                    Initial
                    Justification Form
                    Medical Urgency
                    Data ***.
144..............  Adult Heart and              149               1.73          257.77         0.25        64.44
                    HeartLung Status 4
                    Exception
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.
145..............  Adult Heart and              149               0.56           83.44         0.40        33.38
                    HeartLung Status 4
                    Criteria 2
                    Extension
                    Justification Form
                    Medical Urgency
                    Data ***.
146..............  Adult and Pediatric          149               3.72          554.28         0.75       415.71
                    Lung and HeartLung
                    Goal Exception
                    Form ***.
147..............  Pediatric Lung                45               1.16           52.20         0.33        17.23
                    Priority 1 Status
                    Justification Form
                    ***.
148..............  Review Board Voter           248              22.46        5,570.08         0.23     1,281.12
                    Form ***.
149..............  Living Donor                 207              37.73        7,810.11         0.13     1,015.31
                    Feedback Form ***.
150..............  Extra Vessels                248              53.71       13,320.08         0.03       399.60
                    Reporting Form ***.
151..............  Non-US Transplants           228               0.00            0.00         0.03         0.00
                    Reporting Form ***.
152..............  Discrepant HLA               138               0.78          107.64         5.17       556.50
                    Typings Reporting
                    Form ***.
153..............  Interim Event                248              72.58       17,999.84         0.06     1,079.99
                    Reporting Form ***.
                                       -------------------------------------------------------------------------
                      Total...........       18,697  .................    3,184,247.26  ...........   851,565.51
----------------------------------------------------------------------------------------------------------------
* The numbers of respondents and total responses in the burden table were updated with 2023 OPTN data and
  reflect increases in the number of organ transplants and changes in the number of respondents (Transplant
  Centers, OPOs, and Histocompatibility Labs).
** These two forms will not be used once the OPTN Process Data OMB package is approved and implemented. The OPTN
  Process Data OMB package is new and will be considered separate from this package. We are including these
  forms in this collection to avoid any lapse in approval of these forms while the OPTN Process Data package is
  being approved.
*** These are new forms.
**** If a form has 0.00 under average number of responses, this indicates no submissions in calendar year 2023.


Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2025-11668 Filed 6-24-25; 8:45 am]
BILLING CODE 4165-15-P


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