Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164

ICR 200210-0938-002

OMB: 0938-0883

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0883 200210-0938-002
Historical Active 200508-0990-002
HHS/CMS
Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 12/10/2002
Retrieve Notice of Action (NOA) 10/01/2002
This information collection request is approved as amended by CMS e-mail memo of 12/06/2002, which contained a revised supporting statement and copies of medical privacy regulations.
  Inventory as of this Action Requested Previously Approved
12/31/2005 12/31/2005
776,224,162 0 0
2,210,715 0 0
0 0 0

45 CFR part 160 and 164 lay out the requirements regarding the privacy and utilization of patient medical records.

None
None


No

1
IC Title Form No. Form Name
Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164 HCFA-10039

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 776,224,162 0 0 776,224,162 0 0
Annual Time Burden (Hours) 2,210,715 0 0 2,210,715 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/01/2002


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