Notice2025-12211

Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Process Data for Organ Procurement and Transplantation Network, OMB No. 0906-xxxx-New

Primary source

Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.

Published
July 1, 2025

Issuing agencies

Health and Human Services DepartmentHealth Resources and Services Administration

Abstract

In compliance with of 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 124 (Tuesday, July 1, 2025)</title>
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[Federal Register Volume 90, Number 124 (Tuesday, July 1, 2025)]
[Notices]
[Pages 28754-28755]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-12211]


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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; Process Data for Organ 
Procurement and Transplantation Network, OMB No. 0906-xxxx-New

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

ACTION: Notice.

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SUMMARY: In compliance with of 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 31, 
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 30-day 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, the HRSA 
Information Collection Clearance Officer at <a href="/cdn-cgi/l/email-protection#e696879683949189948da68e949587c8818990"><span class="__cf_email__" data-cfemail="81f1e0f1e4f3f6eef3eac1e9f3f2e0afe6eef7">[email&#160;protected]</span></a> or call 
(301) 443-9094.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Process Data for Organ 
Procurement and Transplantation Network, OMB No. 0906-xxxx-New.
    Abstract: Section 372 of the Public Health Service Act requires 
that the Secretary of HHS, by awards, provide for the establishment and 
operation of the Organ Procurement and Transplantation Network (OPTN), 
which, under oversight of the Health Resources and Services 
Administration (HRSA), operates the U.S. organ procurement and 
transplantation system. The Secretary/HRSA may direct the collection of 
data in accordance with the regulatory authority in 42 CFR 121.11 of 
the OPTN Final Rule. HRSA, in alignment with the Paperwork Reduction 
Act of 1995, submits data elements for collection to OMB for official 
federal approval.
    A 60-day Notice was published in the Federal Register, 89 FR 87592 
(November 4, 2024). The 60-day Federal Register Notice publication 
generated 53 public comments, with the majority submitted by transplant 
centers. The public comments offered input to improve the quality and 
clarity of the data forms, including by standardizing the definitions 
of the terminology used on the forms and making additions and revisions 
to response options and categories. The respondents also provided 
feedback on the perceived burden of data collection. They suggested 
submitting these data on a quarterly, semi-annual, or annual basis, 
rather than in real-time, to reduce the time and staffing required to 
report the data to HRSA. Nearly all respondents who commented on the 
use of automated collection techniques supported efforts to automate 
data collection in these forms, including coordinating updates with 
Electronic Health Record vendors and other software developers. Others 
recommended a phased-in approach with a pilot testing period.
    HRSA conducted a thorough review of all the feedback provided by 
the public during the 60-day publication period. HRSA will incorporate 
many public comments into the new forms, including through the removal 
and/or revision of current fields (for example, removing HIV status and 
Primary Insurance from the Ventilated Patient Form) and explore options 
to automate the data collection process and incorporate education and 
training for data respondents to reduce burden and ensure data quality 
and accuracy. Other suggestions may be further reviewed for 
consideration in future OMB packages or non-substantive change memos.
    Need and Proposed Use of the Information: HRSA and the OPTN Board 
of Directors 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 of the OPTN Final 
Rule allows the Secretary of HHS to prescribe data collection. This 
regulatory authority requires the OPTN data to be made available, 
consistent with applicable laws, for use by OPTN members, the 
Scientific Registry of

[[Page 28755]]

Transplant Recipients, and members of the public for evaluation, 
research, patient information, and other purposes.
    This is a request to expand the current OPTN data collection, 
approved under OMB No. 0915-0157. HRSA is submitting this new data 
collection, separate from OMB No. 0915-0157, since it includes new 
forms developed in response to an HHS Secretarial Data Directive that 
are not in use by OPTN. HRSA believes that separating these data 
collections will minimize confusion, increase clarity among OPTN 
members and stakeholders, and enable more direct feedback on the new 
forms. Both data collections include time-sensitive, life-critical data 
on transplant candidates and potential organ donor patients, the organ 
matching process, histocompatibility results, organ labeling and 
packaging, as well as pre- and post-transplantation data on recipients 
and donors. The OPTN collects these specific data elements from 
transplant centers.
    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.
    This new collection consists of three new data forms as directed by 
the Secretary of HHS, which were developed to improve the OPTN organ 
matching and allocation process and OPTN member compliance with OPTN 
requirements:
    <bullet> One new form will collect data from the point of referral 
of a patient to an Organ Procurement Organization (OPO) for potential 
deceased organ donation. These data will provide a more objective 
source of information on procurement practices, the management of 
potential donor patients, and how these practices inform the supply of 
deceased donor organs available for transplant. These data may also 
help improve the monitoring of OPO performance, facilitating quality 
assurance and performance improvement efforts to reduce variation in 
the quality of care that OPOs provide to prospective donors and donor 
families.
    <bullet> Two new forms will expand data collection from the point 
of patient registration, referral, and evaluation at transplant 
centers. These data will enable the collection of data from the point 
of referral. Pre-waitlisting data will provide insight into who is 
referred and by whom, who is evaluated, and who is placed on the organ 
transplantation waiting list. These data will also facilitate the 
OPTN's ability to address disparities in processes of care, improve 
access to organ transplantation, and assess overall system performance.
    Once this collection is approved, HRSA will cease use of the Death 
Notification Registration and the Deceased Donor Death Referral forms 
that are included within the existing OMB-approved Data System for 
Organ Procurement and Transplantation Network OMB No. 0915-0157. HRSA 
decided to decommission these forms to avoid unnecessary burden and 
redundancy in the data collected by this package and the existing OMB 
data collection instrument.
    Likely Respondents: Transplant Centers, OPOs, 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 total estimated burden hours for this Secretary of HHS directed 
data collection is 252,216.84 hours.

                                    Total Estimated Annualized Burden--Hours
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                                                                                       Average
                                            Number of      Number of       Total      burden per   Total burden
    Form No.             Form name         respondents   responses per   responses     response        hours
                                                          respondent                  (in hours)
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1...............  Pre-Waitlist                     248        1,164.68   288,840.64         0.35      101,094.22
                   Transplant Referral
                   Form.
2...............  Pre-Waitlist                     248          594.22   147,366.56         0.40       58,946.62
                   Transplant Evaluation
                   Form.
3...............  Ventilated Patient                56        3,292.00   184,352.00         0.47    86,645.44.00
                   Form.
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                     Total..............           552  ..............   620,559.20  ...........      246,686.28
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    The average burden estimates for both new pre-waitlist forms are 
based on the 2023 burden estimates of existing OMB-approved Transplant 
Candidate Registration forms, which were approved under OMB control 
number 0915-0157. The average burden estimate of the Ventilated Patient 
Form is based on the average burden estimate of the 2024 burden 
estimates of the existing OMB-approved Death Notification Registration 
form, with an additional 0.08 hour per collected form burden to reflect 
an increase in total data fields. The burden estimate for the 
Ventilated Patient Form has decreased since the publication of the 60-
day Federal Register Notice due to the removal of measures from the 
form in response to public comment.

Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2025-12211 Filed 6-30-25; 8:45 am]
BILLING CODE 4165-15-P


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