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Notice2026-20732

Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Data System for Organ Procurement and Transplantation Network, OMB No. 0906-0110-Revision

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Published
October 9, 2026

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 91 Issue 195 (Friday, October 9, 2026)</title>
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[Federal Register Volume 91, Number 195 (Friday, October 9, 2026)]
[Notices]
[Pages 64665-64669]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-20732]


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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; Data System for Organ 
Procurement and Transplantation Network, OMB No. 0906-0110--Revision

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

ACTION: Notice.

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

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 November 
9, 2026.

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#a0d0c1d0c5d2d7cfd2cbe0c8d2d3c18ec7cfd6"><span class="__cf_email__" data-cfemail="c3b3a2b3a6b1b4acb1a883abb1b0a2eda4acb5">[email&#160;protected]</span></a> or call 
(301) 443-9094.

SUPPLEMENTARY INFORMATION: Information Collection Request Title: Data 
System for Organ Procurement and Transplantation Network, OMB No. 0906-
0110-- Revision.
    Abstract: Section 372(a) of the Public Health Service Act requires 
the Secretary of HHS to provide for the continued operation of the 
Organ Procurement and Transplantation Network (OPTN). Section 
372(b)(1)(A) provides that the OPTN shall be operated through awards to 
public or private entities made by the Secretary. The OPTN is a unique 
public-private partnership that links professionals involved in the 
U.S. donation 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 official federal 
approval.
    A 60-day Notice was published in the Federal Register, Vol. 91, No. 
94, FR pp. 27964 (May 15, 2026). There was one comment from a 
Transplant Center. The commenter requested that HRSA identify the 
Board-approved revisions and the specific data collection forms 
affected. The commenter also requested clarification regarding whether 
the Patient Safety Contact Management and Patient Transfer forms are 
revisions to existing forms or new data collection requirements, the 
rationale for the new forms, and how duplicative data collection and 
additional administrative burden would be avoided. HRSA responded that 
draft data collection instruments may be requested at any time during 
the public comment period and will be made available in both clean and 
redline formats during the 30-day Federal Register Notice public 
comment period. HRSA clarified that the Patient Safety Contact 
Management and Patient Transfer forms are new data collection forms and 
that their inclusion is described in the notice and reflected in the 
Estimated Annualized Burden Hours table. HRSA also identified where 
stakeholders can find the rationale for the proposed revisions to 
existing forms and the addition of new forms. HRSA encourages 
interested stakeholders to review these materials for additional 
background on the OPTN policy development process (<a href="https://www.hrsa.gov/optn/policies-bylaws/public-comment">https://www.hrsa.gov/optn/policies-bylaws/public-comment</a>).
    Need and Proposed Use of the Information: HRSA and the OPTN BOD use 
data to develop organ procurement, allocation, and transplantation 
policies; evaluate member compliance with OPTN policies and HHS 
regulations; assess member performance; promote patient safety; and 
fulfill the requirements of the OPTN regulations at 42 CFR part 121. In 
particular, 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>) requires the OPTN to 
maintain specified records and make OPTN data available, consistent 
with applicable laws, to OPTN members, the Scientific Registry of 
Transplant Recipients, HHS, and the public for evaluation, research, 
and other purposes.
    This is a request to revise the currently approved OPTN information 
collection, which includes time-sensitive, life-critical information 
related to transplant candidates; potential organ donors, organ 
matching and allocation; histocompatibility testing; organ labeling and 
packaging; and pre- and post-transplant clinical information for 
transplant recipients and donors. These data are collected from 
transplant hospitals, organ procurement organizations, and 
histocompatibility laboratories.
    HRSA and the OPTN use these data to (1) facilitate matching and 
placement

[[Page 64666]]

of donor organs with transplant candidates; (2) monitor member 
compliance with federal laws, regulations, and OPTN requirements; (3) 
evaluate and periodically report on the status of organ donation, 
procurement, and transplantation in the United States; (4) provide data 
to researchers and government agencies to support scientific, clinical, 
and policy analyses related to organ transplantation; and (5) perform 
transplantation-related public health surveillance, including the 
monitoring of donor-derived infections.
    HRSA is requesting approval for the following changes to improve 
organ matching and allocation, enhance patient safety, and support 
member compliance with OPTN requirements:
    (1) Add two new data collection forms to the OPTN Computer System 
and the OMB-approved information collection:
    a. The Patient Safety Contact Management Form. This form will be 
used by OPTN members to identify the organization's primary and 
secondary patient safety contacts consistent with the responsibilities 
outlined in OPTN policy 15.1.
    b. The Patient Transfer Form: This form will be used by transplant 
centers to facilitate the transfer of post-transplant patients to 
another transplant center during ongoing follow-up.
    (2) Remove the Vascularized Composite Allograft (VCA) Transplant 
Candidate Registration. Following implementation of new VCA waitlist 
registration forms in the OPTN Waiting List system, OPTN members will 
no longer need to validate the data on the VCA Transplant Candidate 
Registration form. The form is now read-only, and all updates and 
validations will be completed directly within the waitlist registration 
forms.
    (3) Remove the Death Notification Registration and Deceased Donor 
Death Referral forms. Following OMB approval of the OPTN Ventilated 
Patient Form (OMB Control No: 0906-0112), these collections are no 
longer needed within the OPTN Data System since the Ventilated Patient 
Form contains the information previously collected under these forms.
    (4) Incorporate minor edits to previously OMB-approved forms for 
clarity.
    Likely Respondents: Transplant Centers, Organ Procurement 
Organizations (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 annual burden for this information collection 
increased by 52,029.48 hours compared with the information collection 
package currently approved by OMB, which was approved June 25, 2025. 
This increase reflects updates to the number of respondents and 
responses based on actual OPTN data from calendar year 2025, the 
addition of two new data collection forms, and revisions to existing 
data collection forms approved by the OPTN BOD. These increases are 
partially offset by the reduction of 6,960.18 burden hours resulting 
from the removal of three forms from the OPTN Computer System.

                                    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                  55           452.4       24,882.00          0.48   11,943.36
                     Registration \+\.
2.................  Living Donor                   209           31.45        6,573.05           2.2   14,460.71
                     Registration.
3.................  Living Donor                   209          100.33       20,968.97          1.52   31,872.83
                     Follow-up.
4.................  Donor                          137          178.56       24,462.72          0.15    3,669.41
                     Histocompatibilit
                     y.
5.................  Recipient                      137          323.81       44,361.97          0.32   14,195.83
                     Histocompatibilit
                     y \+\.
6.................  Heart Transplant               149           40.87        6,089.63           0.9    5,480.67
                     Candidate
                     Registration.
7.................  Heart Transplant               149           30.78        4,586.22          1.96    8,988.99
                     Recipient
                     Registration.
8.................  Heart Transplant               149           28.51        4,247.99           0.4    1,699.20
                     Recipient Follow
                     Up (6 Month).
9.................  Heart Transplant               149          122.62       18,270.38           0.9   16,443.34
                     Recipient Follow
                     Up (1-5 Year).
10................  Heart Transplant               149          202.66       30,196.34           0.5   15,098.17
                     Recipient Follow
                     Up (Post 5 Year).
11................  Heart Post-                    149           14.58        2,172.42           0.9    1,955.18
                     Transplant
                     Malignancy Form.
12................  Lung Transplant                 77           51.26        3,947.02          0.95    3,749.67
                     Candidate
                     Registration.
13................  Lung Transplant                 77           45.34        3,491.18          1.14    3,979.95
                     Recipient
                     Registration.
14................  Lung Transplant                 77           41.34        3,183.18           0.5    1,591.59
                     Recipient Follow
                     Up (6 Month).
15................  Lung Transplant                 77           147.7       11,372.90           1.1   12,510.19
                     Recipient Follow
                     Up (1-5 Year).
16................  Lung Transplant                 77          162.26       12,494.02           0.6    7,496.41
                     Recipient Follow
                     Up (Post 5 Year).
17................  Lung Post-                      77           22.73        1,750.21           0.4      700.08
                     Transplant
                     Malignancy Form.
18................  Heart/Lung                      75            1.03           77.25          1.16       89.61
                     Transplant
                     Candidate
                     Registration.
19................  Heart/Lung                      75             0.8           60.00          2.09      125.40
                     Transplant
                     Recipient
                     Registration.
20................  Heart/Lung                      75            0.75           56.25           0.8       45.00
                     Transplant
                     Recipient Follow
                     Up (6 Month).
21................  Heart/Lung                      75            2.69          201.75           1.1      221.93
                     Transplant
                     Recipient Follow
                     Up (1-5 Year).
22................  Heart/Lung                      75            3.64          273.00           0.6      163.80
                     Transplant
                     Recipient Follow
                     Up (Post 5 Year).
23................  Heart/Lung Post-                75             0.2           15.00           0.4        6.00
                     Transplant
                     Malignancy Form.
24................  Liver Transplant               144          112.48       16,197.12           0.8   12,957.70
                     Candidate
                     Registration.
25................  Liver Transplant               144           85.72       12,343.68           1.2   14,812.42
                     Recipient
                     Registration.
26................  Liver Transplant               144           384.5       55,368.00             1   55,368.00
                     Recipient Follow
                     Up (6 Month-5
                     Year).
27................  Liver Transplant               144          466.79       67,217.76           0.5   33,608.88
                     Recipient Follow
                     Up (Post 5 Year).
28................  Liver Recipient                144            7.81        1,124.64           0.6      674.78
                     Explant Pathology
                     Form.
29................  Liver Post-                    144           27.19        3,915.36           0.8    3,132.29
                     Transplant
                     Malignancy Form.
30................  Intestine                       17            6.76          114.92           1.3      149.40
                     Transplant
                     Candidate
                     Registration.
31................  Intestine                       17            5.18           88.06           1.8      158.51
                     Transplant
                     Recipient
                     Registration.
32................  Intestine                       17           23.29          395.93           1.5      593.90
                     Transplant
                     Recipient Follow
                     Up (6 Month-5
                     Year).
33................  Intestine                       17           52.35          889.95           0.4      355.98
                     Transplant
                     Recipient Follow
                     Up (Post 5 Year).
34................  Intestine Post-                 17            0.35            5.95             1        5.95
                     Transplant
                     Malignancy Form.
35................  Kidney Transplant              232          225.83       52,392.56           0.8   41,914.05
                     Candidate
                     Registration.
36................  Kidney Transplant              232          118.94       27,594.08           1.2   33,112.90
                     Recipient
                     Registration.

[[Page 64667]]

 
37................  Kidney Transplant              232          610.62      141,663.84           0.9  127,497.46
                     Recipient Follow
                     Up (6 Month-5
                     Year).
38................  Kidney Transplant              232          617.82      143,334.24           0.5   71,667.12
                     Recipient Follow
                     Up (Post 5 Year).
39................  Kidney Post-                   232           31.57        7,324.24           0.8    5,859.39
                     Transplant
                     Malignancy Form.
40................  Pancreas                       127             2.2          279.40           0.6      167.64
                     Transplant
                     Candidate
                     Registration.
41................  Pancreas                       127            0.84          106.68           1.2      128.02
                     Transplant
                     Recipient
                     Registration.
42................  Pancreas                       127             4.2          533.40           0.5      266.70
                     Transplant
                     Recipient Follow
                     Up (6 Month-5
                     Year).
43................  Pancreas                       127           15.71        1,995.17           0.5      997.59
                     Transplant
                     Recipient Follow
                     Up (Post 5 Year).
44................  Pancreas Post-                 127            0.72           91.44           0.6       54.86
                     Transplant
                     Malignancy Form.
45................  Kidney/Pancreas                127           13.35        1,695.45           0.6    1,017.27
                     Transplant
                     Candidate
                     Registration.
46................  Kidney/Pancreas                127            6.34          805.18           1.2      966.22
                     Transplant
                     Recipient
                     Registration.
47................  Kidney/Pancreas                127           35.55        4,514.85           0.5    2,257.43
                     Transplant
                     Recipient Follow
                     Up (6 Month-5
                     Year).
48................  Kidney/Pancreas                127           68.19        8,660.13           0.6    5,196.08
                     Transplant
                     Recipient Follow
                     Up (Post 5 Year).
49................  Kidney/Pancreas                127            2.32          294.64           0.4      117.86
                     Post-Transplant
                     Malignancy Form.
50................  VCA Transplant                  23            0.39            8.97          1.36       12.20
                     Recipient
                     Registration \+\.
51................  VCA Transplant                  23            2.91           66.93          1.31       87.68
                     Recipient Follow
                     Up \+\.
52................  Organ Labeling and              55          308.47       16,965.85          0.18    3,053.85
                     Packaging.
53................  Organ Tracking and             306           18.68        5,716.08          0.08      457.29
                     Validating.
54................  Kidney Paired                  155             0.4           62.00          0.26       16.12
                     Donation
                     Candidate
                     Registration.
55................  Kidney Paired                  155            0.74          114.70          1.08      123.88
                     Donation Donor
                     Registration.
56................  Kidney Paired                  155            0.86          133.30          0.67       89.31
                     Donation Match
                     Offer Management.
57................  Disease                        306            2.96          905.76           0.6      543.46
                     Transmission
                     Event.
58................  Living Donor Event             209            0.24           50.16          0.56       28.09
59................  Safety Situation..             443            1.33          589.19          0.24      141.41
60................  Potential Disease               55           14.78          812.90          1.27    1,032.38
                     Transmission
                     Report.
61................  Request to Unlock              443          156.16       69,178.88          0.02    1,383.58
                     Form.
62................  Initial Donor                   55          453.87       24,962.85          4.75  118,573.54
                     Registration \+\.
63................  OPO Notification                55            0.16            8.80          0.17        1.50
                     Limit
                     Administration.
64................  Potential                      306         5332.24    1,631,665.44          0.05   81,583.27
                     Transplant
                     Recipient.
65................  Donor Hospital                  55            0.07            3.85          0.08        0.31
                     Registration.
66................  Donor Organ                     55          453.87       24,962.85          0.17    4,243.68
                     Disposition.
67................  Transplant Center              251          863.46      216,728.46          0.06   13,003.71
                     Contact
                     Management.
68................  Adult Kidney                   232          227.93       52,879.76          0.52   27,497.48
                     Candidate Listing
                     Registration.
69................  Pediatric Kidney               103           11.66        1,200.98          0.47      564.46
                     Candidate Listing
                     Registration.
70................  Adult Kidney                   127           13.32        1,691.64          0.37      625.91
                     Pancreas
                     Candidate Listing
                     Registration.
71................  Pediatric Kidney                29             0.1            2.90           0.3        0.87
                     Pancreas
                     Candidate Listing
                     Registration.
72................  Adult Pancreas                 127           15.27        1,939.29          0.38      736.93
                     Candidate Listing
                     Registration.
73................  Pediatric Pancreas              30            1.17           35.10          0.38       13.34
                     Candidate Listing
                     Registration.
74................  Adult Pancreas                  18            4.44           79.92          0.38       30.37
                     Islet Listing
                     Registration.
75................  Pediatric Pancreas              18               0            0.00          0.33        0.00
                     Islet Listing
                     Registration ***.
76................  Adult Liver                    144          107.35       15,458.40          0.32    4,946.69
                     Candidate Listing
                     Registration.
77................  Pediatric Liver                 59           12.51          738.09           0.4      295.24
                     Candidate Listing
                     Registration.
78................  Adult Intestine                 17            4.53           77.01          0.38       29.26
                     Candidate Listing
                     Registration.
79................  Pediatric                       17            2.24           38.08          0.43       16.37
                     Intestine
                     Candidate Listing
                     Registration.
80................  Adult Heart                    149           36.52        5,441.48          0.83    4,516.43
                     Candidate Listing
                     Registration.
81................  Pediatric Heart                 63            10.3          648.90          0.58      376.36
                     Candidate Listing
                     Registration.
82................  Adult HeartLung                 75            0.96           72.00          0.85       61.20
                     Candidate Listing
                     Registration \+\.
83................  Pediatric                       25             0.2            5.00          0.93        4.65
                     HeartLung
                     Candidate Listing
                     Registration.
84................  Adult Lung                      77           50.77        3,909.29          1.01    3,948.38
                     Candidate Listing
                     Registration \+\.
85................  Pediatric Lung                  45            0.84           37.80          0.84       31.75
                     Candidate Listing
                     Registration \+\.
86................  Candidate                      251          305.65       76,718.15          0.18   13,809.27
                     Registration
                     Listing Removal.
87................  VCA Abdominal Wall               8               0            0.00          0.33        0.00
                     Candidate Listing
                     Registration ***.
88................  VCA External Male                2               0            0.00          0.33        0.00
                     Genitalia
                     Candidate Listing
                     Registration ***.
89................  VCA Head and Neck                9            0.11            0.99          0.33        0.33
                     Candidate Listing
                     Registration.
90................  VCA Lower Limb                   4               0            0.00          0.33        0.00
                     Candidate Listing
                     Registration ***.
91................  VCA                              2               0            0.00          0.33        0.00
                     Musculoskeletal
                     Composite Graft
                     Segment Candidate
                     Listing
                     Registration ***.
92................  VCA Other                        5             0.2            1.00          0.33        0.33
                     Genitourinary
                     Organ Candidate
                     Listing
                     Registration.
93................  VCA Spleen                       0               0            0.00          0.33        0.00
                     Candidate Listing
                     Registration ***.
94................  VCA Upper Limb                  11               0            0.00          0.33        0.00
                     Candidate Listing
                     Registration ***.
95................  VCA Uterus                       6            1.83           10.98          0.33        3.62
                     Candidate Listing
                     Registration.
96................  VCA Vascularized                 1               0            0.00          0.33        0.00
                     Gland Candidate
                     Listing
                     Registration ***.
97................  Organ Export                    55            0.29           15.95          0.03        0.48
                     Verification Form.
98................  OPTN Waiting Time              251            5.32        1,335.32          0.23      307.12
                     Transfer Form.
99................  OPTN Waiting Time              251           23.73        5,956.23          0.22    1,310.37
                     Modification Form.
100...............  OPTN Renal Waiting             232            1.33          308.56          0.27       83.31
                     Time
                     Reinstatement
                     Form.
101...............  OPTN Pancreas                  127            0.04            5.08           0.2        1.02
                     Waiting Time
                     Reinstatement
                     Form.
102...............  Intestinal Waiting              17            0.06            1.02          0.25        0.26
                     Time
                     Reinstatement
                     Form.
103...............  Prior Living Donor             232            0.41           95.12          0.27       25.68
                     Priority.
104...............  Kidney Minimum                 232            0.96          222.72           0.3       66.82
                     Acceptance
                     Criteria.
105...............  Adult Liver Status             144            2.13          306.72          0.57      174.83
                     1A Initial
                     Justification and
                     Extension Form.
106...............  Pediatric Liver                 59               3          177.00          0.57      100.89
                     Status 1A Initial
                     Justification and
                     Extension Form.
107...............  Pediatric Liver                 59             7.1          418.90          0.47      196.88
                     Status 1B Initial
                     Justification and
                     Extension Form.
108...............  Liver                          144            0.83          119.52          0.43       51.39
                     Cholangiocarcinom
                     a (CCA) Initial
                     MELD/PELD Score
                     Exception Form.
109...............  Liver                          144            0.67           96.48          0.32       30.87
                     Cholangiocarcinom
                     a (CCA) MELD/PELD
                     Score Exception
                     Extension Form.
110...............  Liver Cystic                   144            0.08           11.52          0.33        3.80
                     Fibrosis (CF)
                     Initial MELD/PELD
                     Score Exception
                     and Extension
                     Form.
111...............  Liver Familial                 144               0            0.00           0.4        0.00
                     Amyloid
                     Polyneuropathy
                     (FAP) Initial
                     MELD/PELD Score
                     Exception Form
                     ***.

[[Page 64668]]

 
112...............  Liver Familial                 144            0.01            1.44           0.3        0.43
                     Amyloid
                     Polyneuropathy
                     (FAP) MELD/PELD
                     Score Exception
                     Extension Form.
113...............  Liver Hepatic                  144            0.55           79.20          0.35       27.72
                     Artery Thrombosis
                     (HAT) Initial
                     MELD/PELD Score
                     Exception and
                     Extension Form.
114...............  Liver                          144           22.18        3,193.92          0.47    1,501.14
                     Hepatocellular
                     Carcinoma (HCC)
                     Initial MELD/PELD
                     Score Exception
                     Form.
115...............  Liver                          144           28.84        4,152.96          0.35    1,453.54
                     Hepatocellular
                     Carcinoma (HCC)
                     MELD/PELD Score
                     Exception
                     Extension Form.
116...............  Liver                          144            1.42          204.48          0.32       65.43
                     Hepatopulmonary
                     Syndrome (HPS)
                     Initial MELD/PELD
                     Score Exception
                     Form.
117...............  Liver                          144            0.81          116.64          0.25       29.16
                     Hepatopulmonary
                     Syndrome (HPS)
                     MELD/PELD Score
                     Exception
                     Extension Form.
118...............  Liver Metabolic                144            0.84          120.96          0.28       33.87
                     Disease Initial
                     MELD/PELD Score
                     Exception and
                     Extension Form.
119...............  Liver                          144            0.52           74.88          0.42       31.45
                     Portopulmonary
                     Hypertension
                     Initial MELD/PELD
                     Score Exception
                     Form.
120...............  Liver                          144            0.38           54.72          0.33       18.06
                     Portopulmonary
                     Hypertension MELD/
                     PELD Score
                     Exception
                     Extension Form.
121...............  Liver Primary                  144             0.1           14.40          0.35        5.04
                     Hyperoxaluria
                     Initial MELD/PELD
                     Score Exception
                     and Extension
                     Form.
122...............  Liver Other                    144           14.33        2,063.52          0.35      722.23
                     Diagnosis Initial
                     MELD/PELD Score
                     Exception and
                     Extension Form.
123...............  Pediatric Heart                 63           15.56          980.28          0.52      509.75
                     and HeartLung
                     Status 1A Initial
                     Justification
                     Form.
124...............  Pediatric Heart                 63           73.57        4,634.91          0.47    2,178.41
                     and HeartLung
                     Status 1A
                     Extension and
                     Appeal
                     Justification
                     Forms.
125...............  Pediatric Heart                 63            7.05          444.15          0.42      186.54
                     and HeartLung
                     Status 1B Initial
                     Justification
                     Form.
126...............  Adult Heart and                149          161.57       24,073.93          0.32    7,703.66
                     HeartLung Status
                     1-6 Justification
                     Form Demographic
                     Data.
127...............  Adult Heart and                149          161.57       24,073.93          0.72   17,333.23
                     HeartLung Status
                     1-6 Justification
                     Form Risk
                     Stratification
                     Data.
128...............  Adult Heart and                149            8.32        1,239.68          0.58      719.01
                     HeartLung Status
                     1 Initial
                     Justification
                     Form Medical
                     Urgency Data.
129...............  Adult Heart and                149             1.1          163.90          0.33       54.09
                     HeartLung Status
                     1 Exception
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
130...............  Adult Heart and                149            0.87          129.63          0.53       68.70
                     HeartLung Status
                     1 Criteria 1
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
131...............  Adult Heart and                149           28.64        4,267.36           0.8    3,413.89
                     HeartLung Status
                     2 Initial
                     Justification
                     Form Medical
                     Urgency Data \+\.
132...............  Adult Heart and                149           19.99        2,978.51          0.33      982.91
                     HeartLung Status
                     2 Exception
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
133...............  Adult Heart and                149            0.01            1.49          0.42        0.63
                     HeartLung Status
                     2 Criteria 1
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
134...............  Adult Heart and                149            5.54          825.46          0.63      520.04
                     HeartLung Status
                     2 Criteria 4
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
135...............  Adult Heart and                149            1.87          278.63           0.6      167.18
                     HeartLung Status
                     2 Criteria 5
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
136...............  Adult Heart and                149           11.25        1,676.25          0.63    1,056.04
                     HeartLung Status
                     3 Initial
                     Justification
                     Form Medical
                     Urgency Data \+\.
137...............  Adult Heart and                149             7.5        1,117.50          0.33      368.78
                     HeartLung Status
                     3 Exception
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
138...............  Adult Heart and                149            0.54           80.46          0.32       25.75
                     HeartLung Status
                     3 Criteria 2
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
139...............  Adult Heart and                149            0.04            5.96          0.48        2.86
                     HeartLung Status
                     3 Criteria 5
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
140...............  Adult Heart and                149           23.41        3,488.09           0.5    1,744.05
                     HeartLung Status
                     4 Initial
                     Justification
                     Form Medical
                     Urgency Data.
141...............  Adult Heart and                149            2.17          323.33          0.25       80.83
                     HeartLung Status
                     4 Exception
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
142...............  Adult Heart and                149            0.78          116.22           0.4       46.49
                     HeartLung Status
                     4 Criteria 2
                     Extension
                     Justification
                     Form Medical
                     Urgency Data.
143...............  Adult and                      149            2.79          415.71          0.75      311.78
                     Pediatric Lung
                     and HeartLung
                     Goal Exception
                     Form.
144...............  Pediatric Lung                  45            0.53           23.85          0.33        7.87
                     Priority 1 Status
                     Justification
                     Form.
145...............  Review Board Voter             251           24.75        6,212.25          0.23    1,428.82
                     Form.
146...............  Living Donor                   209           38.86        8,121.74          0.13    1,055.83
                     Feedback Form.
147...............  Extra Vessels                  251           59.28       14,879.28          0.03      446.38
                     Reporting Form.
148...............  Non-US Transplants             232               0            0.00          0.03        0.00
                     Reporting Form
                     ***.
149...............  Discrepant HLA                 137            1.27          173.99          5.17      899.53
                     Typings Reporting
                     Form \+\.
150...............  Interim Event                  251           88.45       22,200.95          0.06    1,332.06
                     Reporting Form.
151...............  Patient Safety                 306            42.2       12,913.20          0.14    1,807.85
                     Contact
                     Management Form
                     **.
152...............  Patient Transfer               251           15.35        3,852.85          0.39    1,502.61
                     Form **.
                                       -------------------------------------------------------------------------
                       Total..........          19,314  ..............    3,085,444.60  ............  903,607.48
----------------------------------------------------------------------------------------------------------------
Note: Totals for responses and burden hours may reflect minor discrepancies due to rounding; however, these
  rounding adjustments do not affect the overall burden estimates presented.
* The numbers of respondents and the numbers of total responses in the burden table were updated with 2025 OPTN
  data.
** These are new forms.
*** If a form has 0.00 under average number of responses, this is an indicator that there were no submissions in
  calendar year 2025.
**** As a result of the removal of the Death Notification Registration and the Deceased Donor Death Referral,
  forms after 65 were renumbered.
\+\ Forms with minor edits to previously OMB-approved forms.


[[Page 64669]]

    HRSA specifically requests comments on (1) the necessity and 
utility of the proposed information collection for the proper 
performance of the agency's functions, (2) the accuracy of the 
estimated burden, (3) ways to enhance the quality, utility, and clarity 
of the information to be collected, and (4) the use of automated 
collection techniques or other forms of information technology to 
minimize the information collection burden.

Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2026-20732 Filed 10-8-26; 8:45 am]
BILLING CODE 4165-15-P


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