Information Collection

Healthcare Integrity and Protection Data Bank for Final Adverse Information on Health Care Providers, Suppliers, and Practitioners -- 45 CFR 61

IC 6483 under ICR 199910-0915-002 · OMB 0915-0239.

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Information Collection (IC) Details

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IC Title:	Healthcare Integrity and Protection Data Bank for Final Adverse Information on Health Care Providers, Suppliers, and Practitioners -- 45 CFR 61	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

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: 79,527	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,282,004	1,282,004
Annual IC Time Burden (Hours)	187,169	187,169
Annual IC Cost Burden (Dollars)	2,107,000	2,107,000

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