Information Collection

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

IC 110329 under ICR 199503-0915-003 · 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: Mandatory

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: 500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 40 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,731,375	37,338	1,694,037	0
Annual IC Time Burden (Hours)	167,489	1,689	76,630	89,170
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

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