ONC Temporary Certification Program's Application, Reporting and Records Requirements

ICR 201208-0955-010

OMB: 0955-0010

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2010-11-24
ICR Details
0955-0010 201208-0955-010
Historical Active
HHS/ONC
ONC Temporary Certification Program's Application, Reporting and Records Requirements
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/27/2012
Retrieve Notice of Action (NOA) 08/27/2012
  Inventory as of this Action Requested Previously Approved
01/31/2014 36 Months From Approved
270 0 0
1,115 0 0
0 0 0

The information collected through the application process will be used to assess the qualifications and abilities of applicants for ONC-ATCB status under the temporary certification program. ONC will utilize the contact information provided for an applicant's authorized representative to communicate and correspond with the applicant about the application. ONC will continue to utilize the authorized representative's contact information to communicate and correspond with the applicant if the applicant becomes an ONC-ATCB.

US Code: 30 USC 3001 Name of Law: Health Information Technology
   PL: Pub.L. 111 - 5 3001 Name of Law: HITECH Act
  
None

Not associated with rulemaking

  75 FR 49934 08/16/2010
75 FR 69081 11/10/2010
No

4
IC Title Form No. Form Name
Testing and Certification Results
Testing and Certification Records
Conformant Applicant
Partially Conformant Applicant

  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 270 0 0 270 0 0
Annual Time Burden (Hours) 1,115 0 0 1,115 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$27,227
No
No
No
No
Yes
Uncollected
Sherrette Funn-Coleman 2026905683

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/24/2010


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