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Office for Civil Rights
OCR
Federal Forms
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Department of Health and Human Services
Office for Civil Rights
Forms
OMB Number
Title
0945-0013
Rulemaking on Discrimination on the Basis of Disability in Health and Human Services Programs or Activities
0945-0012
Confidentiality of Alcohol and Drug Abuse Patient Records - 42 CFR Part 2
0945-0011
Nondiscrimination in Health Programs and Activities
0945-0010
Confidentiality of Substance Use Disorder Patient Records
0945-0009
Notice Requirement (proposed 45 C.F.R. § 88.5)
0945-0008
Assurance and Certification of Compliance (NPRM)
0945-0007
HIPAA Covered Entity and Business Associate Pre-Audit Survey
0945-0006
OCR Pre-granted Automation Project
0945-0005
HIPAA Audit Review Survey
0945-0004
Health Insurance Reform Security Standards - Final Rule
0945-0003
Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164
0945-0002
Complaint Forms for Civil Rights and Conscience; Health Information Privacy and Security Complaints
0945-0001
HITECH Act Breach Notification
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