Information Collection Request

Permanent Certification Program for Health Information Technology

ICR 201208-0990-001 · OMB 0990-0378 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
ONC NPRM SCC2_PRA Supporting Statement_Final.doc Supporting Statement A Uploaded 2012-07-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
197229 ONC-ACB Submission of Surveillance Plan and Surveillance Results Modified
193506 45 CFR 170.523(f) - Collection and Reporting Requirements Modified
193505 Request for ONC-AA Status Modified
193504 Application for ONC-ACB Status Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2015 36 Months From Approved 07/31/2014
332 0 332
435 0 332
10,309 0 0





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table that charts list of burden
IC Title Form No. Form Name
Request for ONC-AA Status
Application for ONC-ACB Status
45 CFR 170.523(f) - Collection and Reporting Requirements
ONC-ACB Submission of Surveillance Plan and Surveillance Results

table that charts list of burden
  Total Request 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 332 332 0 0 0 0
Annual Time Burden (Hours) 435 332 0 103 0 0
Annual Cost Burden (Dollars) 10,309 0 0 10,309 0 0


Reginfo record details
  No