ICRs Contained in 45 CFR Part 162; HIPAA Standards for Electronic Transactions

ICRs Contained in 45 CFR Part 162; HIPAA Standards for Electronic Transactions

OMB: 0938-0866

IC ID: 8683

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Information Collection (IC) Details

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ICRs Contained in 45 CFR Part 162; HIPAA Standards for Electronic Transactions
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR Part 162  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction X061A1.pdf Yes No Fillable Printable
Instruction X091A1.pdf Yes No Fillable Fileable
Instruction X092A1.pdf Yes No Fillable Printable
Instruction X093A1.pdf Yes No Fillable Fileable
Instruction X094A1.pdf Yes No Fillable Fileable
Instruction X095A1.pdf Yes No Fillable Fileable
Instruction X098A1.pdf Yes No Fillable Fileable
Instruction X096A1.pdf Yes No Fillable Fileable
Instruction X097A1.pdf Yes No Fillable Fileable

Health Health Care Services

 

3,400,000 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 3,400,000 0 0 0 0 3,400,000
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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