Agency Information Collection Activities: Proposed Collection: Public Comment Request Information Collection Request Title: Data System for Organ Procurement and Transplantation Network, OMB No. 0915-0157-Revision

Federal RegisterAug 31, 2021

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Agency Information Collection Activities: Proposed Collection: Public Comment Request Information Collection Request Title: Data System for Organ Procurement and Transplantation Network, OMB No. 0915-0157—Revision

AGENCY:

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

ACTION:

Notice.

SUMMARY:

In compliance with the requirement for the opportunity for public comment on proposed data collection projects of the Paperwork Reduction Act of 1995, HRSA announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR.

DATES:

Comments on this ICR should be received no later than November 1, 2021.

ADDRESSES:

Submit your comments to

paperwork@hrsa.gov

or mail the HRSA Information Collection Clearance Officer, Room 14N136B, 5600 Fishers Lane, Rockville, MD 20857.

FOR FURTHER INFORMATION CONTACT:

To request more information on the proposed project or to obtain a copy of the data collection plans and draft instruments, email

paperwork@hrsa.gov

or call Lisa Wright-Solomon, the HRSA Information Collection Clearance Officer at (301) 443-1984.

SUPPLEMENTARY INFORMATION:

When submitting comments or requesting information, please include the information request collection title for reference.

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, by contract, provide for the establishment and operation of a private, non-profit entity: The Organ Procurement and Transplantation Network (OPTN). The data collected pursuant to the OPTN's regulatory authority in 42 CFR 121.11 of the OPTN Final Rule is collected through OMB approved data collection forms. Therefore, data approved for collection by the OPTN Board of Directors are submitted by HRSA for OMB approval under the Paperwork Reduction Act of 1995.

This is a request for revising the current OPTN data collection associated with an individual's clinical characteristics at the time of registration, transplant, and follow-up after the transplant to include data collection forms in the OPTN Organ Labeling, Packaging, and Tracking System, the OPTN Kidney Paired Donation Pilot Program (KPDPP), and the OPTN Patient Safety Reporting Portal (PSRP). This revision also includes OPTN Board of Directors approved changes to the existing OMB data collection forms. These specific data elements of the OPTN data system are collected from transplant hospitals, organ procurement organizations, and histocompatibility laboratories. The information is used 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 and transplantation in the United States; (4) provide data to researchers and government agencies to study the scientific and clinical status of organ transplantation; (5) perform transplantation-related public health surveillance including the possible transmission of donor disease.

HRSA is submitting the following changes to improve the OPTN organ matching and allocation process and improve OPTN member compliance with OPTN requirements. All of these proposed changes have been approved by the OPTN Board of Directors.

(1) Adding two data collection forms for the OPTN Organ Labeling, Packaging, and Tracking System to the existing OMB approved Data System for Organ Procurement and Transplantation Network. The system has two forms that are used through mobile and web-based applications to ensure the correct organ is transplanted into the correct patient, minimize labeling and transport errors, accelerate organ information transfer,

and capture data regarding organ procurement. OPTN Organ Labeling, Packaging, and Tracking System is comprised of two data collection forms: Organ labeling and packaging, and organ tracking and validating.

(2) Adding data collection forms for the OPTN KPDPP to the existing OMB approved Data System for Organ Procurement and Transplantation Network. Kidney paired donation is a transplant option for those patients waiting for a kidney transplant who have a willing living donor who is medically able but cannot donate a kidney to their intended candidate because they are incompatible. OPTN KPDPP matches living donors, and their intended candidates with other living donors or intended candidate pairs when the living donors cannot donate to the person(s) they initially hoped would receive their kidney. OPTN KPDPP is comprised of three data collection forms: Candidate registration, donor registration, and match offer management.

(3) Adding data collection forms in the OPTN PSRP to the existing OMB approved Data System for Organ Procurement and Transplantation Network. OPTN PSRP allows the OPTN to collect reports on any event or process variance that could cause concerns from transplantation, donation, safety, or quality perspective. OPTN PSRP is comprised of four data collection forms: Disease transmission event, living donor event, safety situation, and potential disease transmission.

(4) Additional revisions to existing data collection forms were made based on the OPTN Board of Directors-approved changes to improve organ matching, allocation, and OPTN policy compliance.

Need and Proposed Use of the Information:

Data are used to develop transplant, donation, 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 practical utility of the data collection is further enhanced by requirements that the OPTN data must be made available, consistent with applicable laws, for use by OPTN members, the Scientific Registry of Transplant Recipients, the Department of Health and Human Services, and members of the public for evaluation, research, patient information, and other important purposes.

Likely Respondents:

Transplant programs, Organ Procurement Organizations, 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 to collect, validate, and verify information, process and maintain information, and disclose and provide information; to train personnel and 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.

Total Estimated Annualized Burden Hours

Form name

Number of

respondents

Number of

responses per

respondent *

Total

responses

Average

burden per

response

(in hours)

Total burden

hours

Deceased Donor Registration

57

188.26

10,731

1.10

11,804

Living Donor Registration

300

22.85

6,855

2.19

a

15,012

Living Donor Follow-up

300

62.23

18,669

1.53

b

28,564

Donor Histocompatibility

147

123.99

18,227

0.20

3,645

Recipient Histocompatibility

147

225.10

33,090

0.40

13,236

Heart Transplant Candidate Registration

140

33.69

4,717

0.90

4,245

Heart Recipient Registration

140

24.33

3,406

1.20

4,087

Heart Follow Up (6 Month)

140

22.01

3,081

0.40

1,233

Heart Transplant Recipient Follow Up 1-5 Year

140

90.61

12,685

0.90

11,417

Heart Transplant Recipient Follow Up Post 5 Year

140

153.97

21,556

0.50

10,778

Heart Post-Transplant Malignancy Form

140

12.77

1,788

0.90

1,609

Lung Transplant Candidate Registration

71

45.21

3,210

0.90

2,889

Lung Transplant Recipient Registration

71

35.66

2,532

1.20

3,038

Lung Transplant Recipient Follow Up 6 Month

71

32.35

2,297

0.50

1,148

Lung Transplant Recipient Follow Up 1-5 Year

71

118.85

8,438

1.10

9,282

Lung Transplant Recipient Follow Up Post 5 Year

71

116.49

8,271

0.60

4,962

Lung- Post-Transplant Malignancy Form

71

19.72

1,400

0.40

560

Heart/Lung Transplant Candidate Registration

69

0.97

67

1.10

74

Heart/Lung Recipient Registration

69

0.46

32

1.30

41

Heart/Lung Transplant Recipient Follow Up 6 Month

69

0.45

31

0.80

25

Heart/Lung Transplant Recipient Follow Up 1-5 Year

69

1.14

79

1.10

87

Heart/Lung Transplant Recipient Follow Up Post 5 Year

69

3.30

228

0.60

137

Heart/Lung Post-Transplant Malignancy Form

69

0.30

21

0.40

8

Liver Transplant Candidate Registration

146

90.29

13,182

0.80

10,546

Liver Transplant Recipient Registration

146

56.55

8,256

1.20

9,908

Liver Transplant Recipient Follow-Up 6 Month—5 Year

146

266.57

38,919

1.00

38,919

Liver Transplant Recipient Follow-up Post 5 Year

146

316.61

46,225

0.50

23,113

Liver Recipient Explant Pathology Form

146

10.58

1,545

0.60

927

Liver Post-Transplant Malignancy

146

16.35

2,387

0.80

1,910

Intestine Transplant Candidate Registration

20

6.95

139

1.30

181

Intestine Transplant Recipient Registration

20

5.20

104

1.80

187

Intestine Transplant Recipient Follow Up 6 Month—5 Year

20

26.20

524

1.50

786

Intestine Transplant Recipient Follow Up Post 5 Year

20

37.20

744

0.40

298

Intestine Post-Transplant Malignancy Form

20

2.10

42

1.00

42

Kidney Transplant Candidate Registration

237

168.77

39,998

0.80

31,999

Kidney Transplant Recipient Registration

237

89.43

21,195

1.20

25,434

Kidney Transplant Recipient Follow-Up 6 Month—5 Year

237

431.86

102,351

0.90

92,116

Kidney Transplant Recipient Follow-Up Post 5 Year

237

449.40

106,508

0.50

53,254

Kidney Post-Transplant Malignancy Form

237

22.64

5,366

0.80

4,293

Pancreas Transplant Candidate Registration

133

2.77

368

0.60

221

Pancreas Transplant Recipient Registration

133

1.46

194

1.20

233

Pancreas Transplant Recipient Follow-Up 6 Month—5 Year

133

7.87

1,047

0.50

523

Pancreas Transplant Recipient Follow-Up Post 5 Year

133

15.93

2,119

0.50

1,059

Pancreas Post-Transplant Malignancy Form

133

0.73

97

0.60

58

Kidney/Pancreas Transplant Candidate Registration

133

9.75

1,297

0.60

778

Kidney/Pancreas Transplant Recipient Registration

133

7.73

1,028

1.20

1,234

Kidney/Pancreas Transplant Recipient Follow-Up 6 Month—5 Year

133

32.80

4,362

0.50

2,181

Kidney/Pancreas Transplant Recipient Follow-Up Post 5 Year

133

57.80

7,687

0.60

4,612

Kidney/Pancreas Post-Transplant Malignancy Form

133

2.20

293

0.40

117

VCA Transplant Candidate Registration

27

0.89

24

0.40

11

VCA Transplant Recipient Registration

27

1.59

43

1.36

c

58

VCA Transplant Recipient Follow Up

27

0.67

18

1.31

d

24

Organ Labeling and Packaging

57

208.25

11,870

0.18

2,137

Organ Tracking and Validating

34

169.06

5,748

0.08

460

Kidney Paired Donation Candidate Registration

160

1.38

221

0.29

64

Kidney Paired Donation Donor Registration

160

1.46

234

1.07

250

Kidney Paired Donation Match Offer Management

160

1.51

242

0.67

162

Disease Transmission Event

308

1.44

444

0.62

275

Living Donor Event

251

0.12

30

0.56

17

Safety Situation

450

0.48

216

0.56

121

Potential Disease Transmission

57

6.88

392

1.27

498

Request to Unlock

450

39.22

17,649

0.02

353

Total

8,290

604,519

437,240

* The Number of Responses per Respondent was calculated by dividing the Total Responses by the Number of Respondents and rounding to the nearest tenth.

a

Total burden increased due to the approval of the “Modify Data Collection on VCA Living Donors” proposal approved by the OPTN Board of Directors (BOD) in December of 2020. The proposal required adding 54 new data fields onto this form and removing 1 data field from this form.

b

Total burden increased due to the approval of the “Modify Data Collection on VCA Living Donors” proposal approved by the OPTN BOD in December of 2020. The proposal required adding 17 new data fields onto this form.

c

Total burden increased due to the approval of the “Programming VCA Allocation in UNet” proposal approved by the OPTN BOD in December of 2020. The proposal required adding 16 new data fields onto this form and removing 10 data fields from this form.

d

Total burden increased due to the approval of the “Programming VCA Allocation in UNet” proposal approved by the OPTN BOD in December of 2020. The proposal required adding 54 new data fields onto this form and removing 5 data fields from this form.

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. 2021-18688 Filed 8-30-21; 8:45 am]

BILLING CODE 4165-15-P

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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