Information Collection

National Practitioner Data Bank (NPDB) Regulations

IC 28883 under ICR 200905-2900-003 · OMB 2900-0621.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0621 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NPDB regulation.pdf fcp.vetpro.org	Other-database
FL 10-490 Department of Veterans Affairs Release of Information FL 10-490 Verification of Credentials Letter.doc	Form

IC Title:

National Practitioner Data Bank (NPDB) Regulations

Agency IC Tracking Number:

2900-0621

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 1.46

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-database			NPDB regulation.pdf	https://fcp.vetpro.org	Yes	Yes	Fillable Printable
Form	FL 10-490	Department of Veterans Affairs Release of Information	FL 10-490 Verification of Credentials Letter.doc		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	1,750	1,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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