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The National Practitioner Data Bank for Adverse Information on and Forms -- 45 CFR Part 60
The National Practitioner Data Bank for Adverse Information on and Forms -- 45 CFR Part 60
OMB: 0915-0126
IC ID: 37688
OMB.report
HHS/HSA
OMB 0915-0126
ICR 199809-0915-010
IC 37688
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0126 can be found here:
2023-11-09 - Revision of a currently approved collection
2021-01-25 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
The National Practitioner Data Bank for Adverse Information on 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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
40,500
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,731,375
0
0
0
0
1,731,375
Annual IC Time Burden (Hours)
167,489
0
0
0
0
167,489
Annual IC Cost Burden (Dollars)
10,607,000
0
0
-10,596,493,000
0
10,607,100,000
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.