National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank Market Survey and Survey of Use of Data Bank Information

Forms and Documents

Document Name	Status
Form non user survey NPDB HIPDB Non User Survey Form	New
Form matched response Matched Response Survey Form	New
Form users group queryi NPDB HIPDB Users Group Querying Survey Form	New
Form users group report NPDB HIPDB Users Group Reporting Survey Form	New
revised partb ss npdb eval b[1].doc Supporting Statement B	2008-02-22
NPDB PART details.doc Supplementary Document	2007-10-24
npdb eval letter.doc Supplementary Document	2007-10-03
Databank PART.xls Supplementary Document	2007-10-24
revised ss npdb eval[1].doc Supporting Statement A	2008-02-22

IC Document Collections

IC ID	Document Title	Status
182582	NPDB HIPDB Non User Survey Form	New
182581	Matched Response Survey Form	New
182580	NPDB HIPDB Users Group Querying Survey Form	New
182579	NPDB HIPDB Users Group Reporting Survey Form	New

ICR Details

OMB Control No: 0915-0316	ICR Reference No: 200711-0915-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank Market Survey and Survey of Use of Data Bank Information
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/22/2008
	Date Received in OIRA: 11/01/2007
Terms of Clearance: This ICR is approved consistent with revised supporting statements. HRSA and its contractor agree not to provide assurances of confidentiality to respondents since it is unclear whether it has the statutory authority to do so. Also, this ICR is approved on the understanding (1) that HRSA/contractors have plans in place if it appears that an adequate response rate will not be achieved (e.g. switching to CATI/phone-administered survey administration, etc.); and (2) that the initial recruitment call to respondents will inform them that some of them may be receiving two different surveys (the user survey and the match survey), to minimize respondent confusion and maximize response rates.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2010	18 Months From Approved
Responses	18,687	0	0
Time Burden (Hours)	2,817	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This ICR is an evaluation of user satisfaction with the National Practitioner Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB). This activity will also evaluate the NPDB and HIPDB educational and outreach programs and assess new products and services.

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Authorizing Statute(s): US Code: 42 USC 11137 Name of Law: Health Care Quality Improvement Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 7892	02/21/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 46639	08/21/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
NPDB HIPDB Users Group Reporting Survey	users group reporting survey	users group reporting survey
NPDB HIPDB Users Group Querying Survey	users group querying survey	users group querying survey
Matched Response Survey	matched response	matched response
NPDB HIPDB Non User Survey	non user survey	non user survey

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ICR Summary of Burden

	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	18,687	0	0	18,687	0	0
Annual Time Burden (Hours)	2,817	0	0	2,817	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

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Annual Cost to Federal Government: $1,263,964

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/01/2007

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