Attitudes toward Electronic Health Information Exchange and Associated Privacy and Security Aspects

ICR 201208-0955-012

OMB: 0955-0012

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0955-0012 201208-0955-012
Historical Active
HHS/ONC
Attitudes toward Electronic Health Information Exchange and Associated Privacy and Security Aspects
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 08/27/2012
Retrieve Notice of Action (NOA) 08/27/2012
  Inventory as of this Action Requested Previously Approved
07/31/2013 36 Months From Approved
25,415 0 0
1,619 0 0
0 0 0

The purpose of the proposed information collection is to better understand the privacy and security concerns, tradeoffs, and priorities individuals have with respect to electronic health information exchange. The information collected will consist of responses to a series of questions that ask a representative sample of individuals about who should have access to their health information through electronic health information exchange and for what purposes they believe their health information should be electronically exchanged.

EO: EO 13335 Name/Subject of EO: Health Information Technology for Economic and Clinical Health Act
  
None

Not associated with rulemaking

  74 FR 55554 10/28/2009
75 FR 13288 03/19/2010
No

2
IC Title Form No. Form Name
Eligible Household (Completes Survey)
Non-Parcipating Household (Screened)

  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 25,415 0 0 25,415 0 0
Annual Time Burden (Hours) 1,619 0 0 1,619 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection

$415,209
Yes Part B of Supporting Statement
No
No
Uncollected
No
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.
04/19/2010


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