2024-25522. Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Process Data for Organ Procurement and Transplantation Network

Total Estimated Annualized Burden Hours

Form No.	Form name	Number of respondents	Number of responses per respondent	Total responses	Average burden per response (in hours)	Total burden hours
1	Pre-Waitlist Transplant Referral Form	248	1,164.68	288,840.64	0.35	101,094.22
2	Pre-Waitlist Transplant Evaluation Form	248	594.22	147,366.56	0.40	58,946.62
3	Ventilated Patient Form	56	3,292.00	184,352.00	0.50	92,176.00
Total		552		620,559.20		252,216.84