National Practitioner Data Bank (NPDB) Regulations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2900-0621 VA response.docx	Supplementary Document	Uploaded 2012-05-03	Available
2900-0621 justification.docx	Supporting Statement A	Uploaded 2011-09-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28883	National Practitioner Data Bank (NPDB) Regulations	Other-database	Modified

ICR Details

OMB Control No: 2900-0621	ICR Reference No: 201105-2900-006
Status: Historical Active	Previous ICR Reference No: 200905-2900-003
Agency/Subagency: VA	Agency Tracking No: 2900-0621
Title: National Practitioner Data Bank (NPDB) Regulations
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/11/2012
	Date Received in OIRA: 09/08/2011
Terms of Clearance: Approved consistent with VA memo included in OMB's docket on 5/03/12; as outlined in VA's response, the VA will continue to utilize this collection to pre-screen job applicants to VA medical facilities.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2015	36 Months From Approved	06/30/2012
Responses	500	0	350
Time Burden (Hours)	2,500	0	1,750
Cost Burden (Dollars)	0	0	0

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Abstract: Used to determine if a malpractice payment is related to substandard care, professional incompetence or misconduct as well as to systematically screen and review qualifications and other credentials such as licensure, education, training, past experience, current competence and health status of doctors, dentists and other healthcare professionals.

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Authorizing Statute(s): None

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:
	76 FR 109	06/07/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 168	08/30/2011
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 (NPDB) Regulations

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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	500	350	0	0	150	0
Annual Time Burden (Hours)	2,500	1,750	0	0	750	0
Annual Cost Burden (Dollars)	0	0	0	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: The change in hours is due to the increase in reports with the implementation of the Proactive Disclosure/Continuous Query Service (PD/CQS). The enrollment in PD/CQS does not wait for the biannual review or change in privileges but rather directly transmits to VA any new report to the NPDB requiring following with the reporting entity. VA form 10-490 was made obsolete by VetPro, VHA's electronic credentialing system and is therefore no longer used.

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Annual Cost to Federal Government: $200,000

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 09/08/2011

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