Information Collection

The National Practitioner Data Bank for Adverse Information on and Forms -- 45 CFR Part 60

IC 37688 under ICR 199809-0915-010 · OMB 0915-0126.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0126 can be found here:

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Information Collection (IC) Details

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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

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,731,375	0	1,731,375
Annual IC Time Burden (Hours)	167,489	0	167,489
Annual IC Cost Burden (Dollars)	10,607,000	-10,596,493,000	10,607,100,000

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