NATIONAL PRACTITIONER DATA BANK FOR ADVERSE INFORMATION ON PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
110325	NATIONAL PRACTITIONER DATA BANK FOR ADVERSE INFORMATION ON PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS		Migrated

ICR Details

OMB Control No: 0915-0126	ICR Reference No: 198912-0915-004
Status: Historical Active	Previous ICR Reference No: 198906-0915-014
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: NATIONAL PRACTITIONER DATA BANK FOR ADVERSE INFORMATION ON PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/28/1990
	Date Received in OIRA: 12/28/1989
Terms of Clearance: This information collection is approved for use for one year. When this collection is resubmitted for clearance, the agency should include the following: 1) an assessment of how the guidebook is used for reporting purposes. Many commenters raised concerns about OMB's approval being premature in light of the status of the guidebook. HRSA has stated that only the forms and instructions are necessary for complying with data bank requirements. The assessment should address the extent to which the guidebook, along with the instructions, is an essential element in completing the forms 2) an update on the progress made toward using improved information technology (e.g., the use of magnetic tape and floppy disks for the reporting of information) and an analysis of the cost savings related to the use of technology 3) a reassessment of the burden associated with completing each type of form 4) a report on compliance problems, i.e., those who fail to meet reporting requirements 5) a report on the contractor's ability to adhere to reasonable timeframes for the processing, correcting and disclosing of information and 6) a report on the percentage of malpractice and adverse action reports that are disputed by the affected practitioners.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1991	03/31/1991	05/31/1991
Responses	186,200	0	1
Time Burden (Hours)	152,339	0	1
Cost Burden (Dollars)	0	0	0

---

Abstract: DATA IDENTIFYING INCOMPETENT, UNPROFESSIONAL, AND UNETHICAL PHYSICIANS AND HEALTH PRACTITIONERS WILL BE SHARED WITH LICENSING BOARDS, PROFESSIONAL SOCIETIES, AND SELECTED HEALTH CARE PROVIDERS. THESE DATA WILL BE USED TO MAINTAIN AND IMPROVE HEALTH CARE AND WILL B OBTAINED FROM INSURERS, LICENSURE BOARDS, PEER REVIEW COMMITTEES, HOSPITALS AND OTHER PROVIDERS.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
NATIONAL PRACTITIONER DATA BANK FOR ADVERSE INFORMATION ON PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	186,200	1	0	186,199	0	0
Annual Time Burden (Hours)	152,339	1	0	152,338	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/28/1989

---