National Practitioner Data Bank: Section 1921 of the Social Security Act

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form npdb1 National Practitioner Data Bank, Section 1921	Form and Instruction	New	Available
npdb nprm noa.doc	Supplementary Document	Uploaded 2010-01-27	Available
nprm comments responses.doc	Supplementary Document	Uploaded 2010-01-27	Available
ss npdb final rule 09.doc	Supporting Statement A	Uploaded 2010-01-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191868	National Practitioner Data Bank, Section 1921	Form and Instruction	New

ICR Details

OMB Control No: 0915-0331	ICR Reference No: 201001-0915-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: National Practitioner Data Bank: Section 1921 of the Social Security Act
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: 03/15/2010
	Date Received in OIRA: 01/27/2010
Terms of Clearance: This ICR is approved without change, consistent with the final rule it is associated with. HRSA agrees to merge this burden into 0915-0126 as soon as practicable and before this 18 month approval has expired. In doing so, HRSA may submit the burden merger as a non-substantive change request. Once the burden has been merged into 0915-0126, HRSA agrees to promptly discontinue this ICR so that the burden is not double-counted.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2011	36 Months From Approved
Responses	123,274	0	0
Time Burden (Hours)	10,429	0	0
Cost Burden (Dollars)	560,000	0	0

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Abstract: To collect adverse actions taken by State licensing authorities against all health care practitioners and health care entities as well as any negative action or finding taken by a private accreditation entity and peer review organizations.

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Authorizing Statute(s): PL: Pub.L. 100 - 93 5b Name of Law: Medicare and Medicaid Patient and Program Protection Act of 187, as amended
   US Code: 42 USC 1921 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: US Code: 42 USC 1921 Name of Law: Social Security Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0906-AA57	Final or interim final rulemaking	75 FR 4656	01/28/2010

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
National Practitioner Data Bank, Section 1921	npdb1, npdb2	npdb1 ,   npdb2

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ICR Summary of Burden

table that charts list 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	123,274	0	123,274	0	0	0
Annual Time Burden (Hours)	10,429	0	10,429	0	0	0
Annual Cost Burden (Dollars)	560,000	0	560,000	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: This ICR contains information collection requirements associated with the implementation of the Final Rule for the expansion of the National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners, Section 1921 of the Social Security Act. Section 1921 authorizes the collection of additional information, and the implementation requires an increase in the number of respondents and current burden for the Data Bank.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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)? No

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: 01/27/2010

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