Information Collection

National Practitioner Data Bank For Adverse Information On Physicians And Other Health Care Practitioners, Regulations And Forms -- 45 Cfr Part 60

IC 110328 under ICR 199212-0915-001 · OMB 0915-0126.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	NATIONAL PRACTITIONER DATA BANK FOR ADVERSE INFORMATION ON PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS, REGULATIONS AND FORMS -- 45 CFR PART 60	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25,659	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	774,986	6,780	768,206
Annual IC Time Burden (Hours)	89,170	1,695	87,475
Annual IC Cost Burden (Dollars)	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.