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Department of Health and Human Services data directive

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A Federal Register Notice was posted July 1, 2025, inviting public comment on the directive through July 31, 2025, pursuant to Office of Management and Budget (OMB) review.

View the OPTN's response to the previous 60-day public comment document.

Background

In February 2024, the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services announced a directive for the OPTN to collect additional data on patients prior to waitlist registration and referrals of potential deceased donors to organ procurement organizations (OPOs). The OPTN Final Rule allows federal authorization of additional data collection to promote the efficiency of the OPTN.

The directive addresses two areas of new or updated data collection:

  • Information from transplant centers about when individuals are first referred to them for an organ transplant, as well as the results of their transplant evaluation and selection as a transplant candidate.
  • Information from organ procurement organizations on all ventilated patients referred to them from hospitals in their donation service area, regardless of whether such individuals progress to organ donation and procurement.

A Federal Register notice was posted in November 2024 of an Information Request Package (ICR) for review by the federal Office of Management and Budget (OMB). The notice invited public comment on the package for a 60-day period. The OPTN prepared a response to the proposal, led by input from the OPTN Data Advisory Committee.

A subsequent Federal Register notice was posted July 1, 2025, with an updated version of the ICR. It invites public comment on the package for an additional 30-day comment period. The OPTN will again prepare a response to the revised proposal.

Written comments must be submitted on or before July 31, 2025 to http://www.reginfo.gov/public/do/PRAMain. Find this particular information collection by selecting “Currently under 30-day Review—Open for Public Comments” or by using the search function. To request a copy of the clearance requests submitted to OMB for review, e-mail paperwork@hrsa.gov or call Samantha Miller, the HRSA Information Collection Clearance Officer at (301) 443-9094.

Timeline

Action Timing
Initial announcement of data directive Feb. 5, 2024
Federal Register publication; 60-day public comment process begins for draft data forms and proposal Nov. 4, 2024
OPTN reply to 60-day public comment request Jan. 3, 2025
Federal Register publication; 30-day public comment process begins with modifications to forms and proposal July 1, 2025
OMB final approval of data collection forms TBD

Workgroup review and recommendations

Members of the OPTN Data Advisory Committee (DAC) and two OPTN workgroups have offered recommendations to HRSA regarding this initiative. The committee and workgroups provided summary, initial feedback in January 2024 on both pre-waitlist referral and ventilated referrals.

The Information below addresses each of the two initiatives in greater detail.

Pre-waitlist referral

Workgroup members and reports

Ventilated patient referral

Workgroup members and reports

News and resources

  • For more information on the OMB review and approval process, see an overview presentation that was shared with the OPTN Data Advisory Committee.

Other content to be added as available.